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DERBY STREET 1-100 • r . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4t"FLOOR PubhCHea Ith STREET, Prevent.Promote,Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEYDRISCOLL Iramdin@salem.com LARRY RANIDIN,RS/ItEHHP S,CO,CP- S MAYOR HE;v:fI'II AGENT CERTIFICATE OF FITNESS CERTIFICATE#455-14 DATE ISSUED: 12/4/2014 Property Located at: 6 Derby Street UNIT# 1 Owner/Agent: Sandra Antunes Address: 6 Derby Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5779 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of. Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • x BOARD OF HEALTH 120 W.ASHINGT9N STREET,411 FLooR TEL,. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 �1 MAYOR LRAMQTNRSALEKC0M LARRY RAMDIN,RS/REIMS,CHO,(T-ES Hr-,aL'niAGENT 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 (/? IJ irj V S LIST F1- UNPf#1 IS IS UNIT DISIGNATE AS RIGHT LEFT FRONT OR BAC&PLEASE CIRCLE ONE OWNER/LESSER �1� MANAGER/AGENT NO P.O.BOX ADDRESS Oe-r�!i Y S 7 ADDRESS CITY, STATE,ZIP_ Lq t� -, Lfq O 1 fI0 CITY, STATE ZIP RESIDENCE PHONE `�7� �I 5 ���II� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 7 ROOM USE: 1. 9 V 2. DIMiu6 3. K,'T 4.13e-yrroom 5L?e-Jr0v,*L 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE/A�r DATE Inspectors use only Date on initial inspection: ) 'Ll-i, 1 Date of reinspection: Date of issuance of certificate: Date fee paid:, Type of unit: Dwelling Other Check#4 -Check date: Notes: Code "n ement Inspector U' Vln"w' t r /1 I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c n 120 WASHINGTON STREET, 4TH FLOOR .. SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/12/05 Stephanie Buivid 6 Derby Street Salem, MA 01970 PROPERTY LOCATED AT 6 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 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 Healtr Reply to "anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector t ¢ CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HEALTH 120 WASHINGTON STREET-4°i FLOOR PI1b11CHC81t1 Prevent.Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinna,salem.com LARRY RANNIN,RS/RL-HS,CHO,CV-L'S MAYOR HEr\LPIi AGFNT CERTIFICATE OF FITNESS CERTIFICATE#331-13 DATE ISSUED: 9/25/2013 Property Located at: 36 Derby Street UNIT# 1 Owner/Agent: Jeff Smith Address: 4 Greenleaf Drive City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-500-4918 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE B ARD OFjiEALTH LARRY RAMDIN HEALTH AGENT ANI J 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 J/,> L.+�\b c� r UNIT#�_ ISS TMS T D<ISIGNA/TED AS RIGHT LEFT FRONT OR BACK PLEASE CIItCLE ONE OWNER/LESSER .J -e,� J A\ MANAGER/AGENT NO P.O.BOX ADDRESS le- C: -ADDRESS CITY,STATE,ZIP 06FA11 �� MA- (/)ETI1,STATE,ZIP RESIDENCE PHONE %fir-04 4AJ G BUSINESS PHONE(24HRS) BUSINESS PHONE yy� TOTAL NUMBER OF ROOMS: / L ) ROOM USE: 1. �°V i .2. I//f ' �i"3. U�'OI 4. be 5. 6. 0 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME SPECTION APPLICANT'S SIGNATURE i DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: i Date fee paid: Type of unit: Dweffin Other Check# Check date: No ),JW Code r ement Inspector Release In accordance with Massachusetts General laws Chapter 111;Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenantllessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. TenamlLessee ner&L. ssor Address Address V Des 4PI Address on unit to be inspected Date Updated 5/23/11 CITY Or SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON SI'RFFT,4"' FLOOR TFL. (978) 741-1800 ICNI13ERLEY DRISCOLL FAX(978) 745-0343 MAYOR )tiACINI&AU'ALCOM jAN17.F MANCINI AC I'M; HFAI,CII AGIi.N"1' CERTIFICATE OF FITNESS CERTIFICATE#182-09 DATE ISSUED: 4/6/2009 Property Located at: 36 Derby Street UNIT#2 Owner/Agent: Jeff Smith Address: 4 Greenleaf Drive City/Town: Danver, MA Zip Code: 01923 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JANETMANCINI t�Z ACTING HEALTH AGENT CODE ENFORCEME T INSPECTOR :w HP Fax Series 900 Fax History Report for Plain-Paper Fax/Copier - Joanne-Scott Salem BOH 978 745 0343 Apr 212009.4:17pm Last Fax DDtg.. Time TTS . __ _ Wentifiratinn .__ Duration_.Pang__Result Apr 21 4:16pm Sent 919787449614 0:35 2 OK Result: OK --_blacker white-fax--. CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IMANCINf Q(7-.SALfiM.COM JANET MANCINI ACTING HEALTH AGENT Facsimile Transmittal To: AAfl — <Sa6t4 Fax # `17 /� '7 Y Z %e) Z RE: Date Page(s): including this cover# Message: Board of Health News ------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON d CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH jig 120 WASHINGTON STREET, ... FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 US MAYOR inloNNI;@ w,ti�M.COM JANET DIONNE, 0� ACTING HEILTH AGENT Cl�� 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�iJfj PROPERTY LOCATED AT S¢- Jq i 1'/ - d UNIT# 2— IS THIS UNIT DISIGNNA��__ED AS RIGHT LEFT FRONT OR BACK.PLEASE CHICLE ONE OWNER/LESSER S�^I 'J� MANAGER/AGENT NO P.O. BOX u Q ADDRESS ADDRESS ((�� CITY, STATE, ZIP o h U e'5, CITY, STATE, ZIP U RESIDENCE PHONE �� FI'-777- 7�/71S BUSINESS PHONE(24HRS) ?7r--5dd'� ! ��r BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 CA 2 N7�/G� 3. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION / y APPLICANT'S SIGNATURE �(/ Jiff DATE �l Z �h�9 Inspectors use only Date on initial inspection: y• b 'o!� Date of reinspection: Date of issuance of certificate: Date fee paid: `I Type of unit: Dwelling L,1'� Other Check#3 i 4 Check date: Notes: c Code Enforc entector --- -. __.. .---- j v� . CERT.# 838-97 FEE $25.00 tlj"to DATE: 12/15/97 ��MIFB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(976)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40 Derby Street UNIT #: 1 OWNER/AGENT: Albert Eisen ADDRESS: 58 Putnam Street CITY/TOWN: Beverly. MA ZIP CODE: 01915 24 HOUR PHONE: .927-4831 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 / q6�1"L-x�� ` Q U/lam JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(506)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER IL, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �f(JL / T r DNIT # Q � OWNER(LESSER04-51'r ��7S25 MANAGER/AGENT �r ADDRESS j ,(��/'sQi� T57, ADDRESS CITY CITY CITY RESIDENCE PHONE �0J 75 1, 4f,99V BUSINESS PHONE (24 HRS.) BUSINESS PHONE 5hr TOTAL NUMBER OF ROOMS: ���` ROOM USE: 1. ' Gff2.11f1 �(jB/f 3. 4 . 5.- 6. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAY LE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM' HEALTH DEPARTMENT THIS FEE I ABLE AT THE TREE OF INSPECTION APPLICANTS SIGNATURE DATE ?z INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:, Cj ?DATE OF REINSPECTION y DATE OF ISSUANCE OF CERTIFICATE: ,,, %� re? —7 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_.__ NOTES: CODE ENFORCEMENT INSPECTOR CERT.# 813-95 FEE $25.00 DATE: 10/31/95 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: 40 DerbV Street UNIT #: 1 OWNER/AGENT: Albert Eisen r ADDRESS: 58 Putnam Street CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 927-4831 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 ODE ENF AGEMENT INSPECTOR L CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970.3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, -CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ,/C /S�y �j�� '�j — UM / OOPV OWNER/LESSER / � MANAGER/AGENT ADDRESS S i���/ '/L5' S � ADDRESS CITY - lr� L f /�fj'�« CITY RESIDENCE PHONE -41�d(/ - �% ��/` BUSINESS PHONE (24 HRS.) BUSINESS PHONE `2%- TOTAL NUMBER OF ROOMS: 'J ROOM USE: 1. fg« 2. IlellA4140,�. 4 . /1A1f1 " 5.�/ _6. 1. 8. THERE IS A TWENTY–FIVE (25.00) DOLLAR FEE, P ABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS AYAELE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: /IelS��VDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ?Zl;yam DATE FEE PAID: TYPE OF UNIT: DWELLING__L/ OTHER NOTES: C EMENTNSPEG � w• y/ CERT.# FEE: _$ 25.00` '.r DATE: 10/12/93 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 40 Derby Street UNIT. # 1 OWNER/AGENT Albert' Eisen ADDRESS 58 Putnam Street CITY/TOWN Beverly;:MA ZIP CODE 01915 24 HOUR PHONE 927-4831 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. v HEALTH AGENT CODE ENFORCEMENT INSPECTO • fV a�y'cur0 OFFICE USE ONLY CERT. 1� a 3 _ \4^41. Em DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 'ROBEAT-E.136ENK440RN- - - 9 NORTH STREET HEALTH AGENT 508-741-1800 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARYCODE, ;CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �� �y UNIT # OWNER/LESSER Alf_ �7 SE7cJ MANAGER/AGENT ADDRESS -57oe� ADDRESS CITY CITY 'RESIDENCE PHONE �p —y —]- BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ,p ROOM USE: 1. 2. 601'W3. �l�i�LM/f 4. &v�j Oo/YI 5. ZorM 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 COMPLL CE AND ISSUANCE OF CERTIFICATE. APPLICANTS SIGNATURE //J(Iil.^— DATE 1.3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: b Z C( � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: rj / 2 Y 3 DATE FEE PAID: d — / 2— 3 TYPE OF UNIT: DWELLING Y OTHER NOTES: �C CODE ENFORCEMENT INSPECTOR V. h 3 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: 03/18/98 Fax:(978)740-9705 Richard Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 1-L 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 3 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: 01/22/98 Fax:(978)740-9705 Richard Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 1-L 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 i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 06/03/96 Fax:(508)740-9705 Richard & William Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 1L 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, FO THE BOARD OFHEALTH REPLY TO Joanne Scott,, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 3-95 ° FEE $25.00 11IP= DATE: 01/03/95 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: 54 Derby Street UNIT #: 11=L OWNER/AGENT: Richard Ouirk ADDRESS: 60 Webb Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-6032 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 / qc1ANNE SCj?ff 'IMJPLHH,,C.RS,`CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR y.co.urr�Se OFFICE USE ONLY CERT. /,�.�.� a 3 0 DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 - - _ 9 NORTH STREEI 508-7a1-1800 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, ,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FO[R,HUMAN HABIT(ATIION". PROPERTY LOCATED AT_5 / l�QY b y J 7 i UNIT # OWNER/I:ESSER .J� J C{j/Q /✓�(. /Q��I.(iJ✓ MANAGER/AGENTGL 1a�SZ ADDRESS ADDRESS CITY J a l� ..�,� ��qCITY - ----`RESIDENCE-PHONE�7»—'�Y9 BUSINESS-PHONE- (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1 .4. r.�2. �Q b 4g H�3. IC./�e,4 , 4: _ - 5. 6. 7. 8 THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF APPLICANTS EM SIGNATUT� D TMENT�PON, =IANCEANDSUANCBD�CIjTIFICA��/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: - )f DATE OF REINSPECTION ? DATE OF ISSUANCE OF CERTIFICATE: 3 �/� DATE FEE PAID: TYPE OF UNIT: DWELLING ,/ OTHER NOTES: 7 c CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 November 15, 1994 Richard and William Quirk c/o 62 Webb Street Salem, MA 01970 Gentlemen: Our records indicate that a notice has been sent to you that you contact this office to conduct Certificate of Fitness inspection prior to renting your apartments in accordance with 1988 Salem Code of Ordinances Article XIII. To date you have not responded to any of our communications. Please call this department to arrange for an inspection at 54 Derby Street First Floor which is currently in violation of the Ordinance and Housing Code. Unless we hear from you within 36 hours we shall initiate a complaint against you in Salem District Court. Your prompt reply is anticipated. FOR THE BOARD OF HEALTH REPLY TO ianne Scott, MPH,RS,CHO Virginia Moustakis Health Agent Senior Sanitarian JS/mfp HAND DELIVERED A • 4 fi, • 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT November 10, 1994 Tel:(508)741-1800 Fax:(508)740-9705 Richard and William Quirk c/o 62 Webb Street Salem, Ma 01970 Gentlemen: We have been informed that your first floor tenant at 54 Derby Street Salem, Chris Finn has vacated the premises. Please be advised that. you cannot rent to another 'tenant until all outstanding violations have been corrected per 10/14/94 Inspection Report and a Certificate of Fitness issued by this Department. Our records indicate that you have been requested, by mail to contact us relative to Certificate of Fitness Inspections in accordance with Mass. General Laws, Chapter 111, Chapter II, 105 aAR 410.000 and Salm City Ordinance Article XIII, in effect since 1988. TO date there has been no response. Be advised that unless these apartments are inspected and Certificates issued, this department must take more stringent action to effect compliance. Your anticipated cooperation is appreciated. Again, we enclose written information regarding the Certificates of Fitness and copies of City Ordinance. FOR THE BOARD OF HEfA,L,T'H� REPLY TO: 2NE SCOTT, MPH, RS, CHO VIRGINIA YOUSTAKIS Health Agent Senior Sanitarian JS/vm cc: ward Councillor encls. 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 Fax:(508)740-9705 Date: 9/7/94 Richard M. & William R. Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 1R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a 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 May 1, 2003 Richard Quirk 82 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street Unit#2 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants'entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of Hea h Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector L _ h 3 1� �F m� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 01/13/2000 Fax:(978)740-9705 Richard M. Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 2L 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. R THE BOARD O HEALTH REPLY TO 4 i oanne Sco MPH,RS,CHO PABLO VALDEZ I Health Agent CODE ENFORCEMENT INSPECTOR 3 CERT.# 205-95 a FEE $25.00 04/06 DATE: 04/06/95 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: 54 Derby Street UNIT #: 2L OWNER/AGENT: Richard M. Quirk ADDRESS: 62 Webb Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-6231 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_ ` JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR OFFICE USE ONLY 1] P CERT.` I) tSJd l DATE: CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARYCODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT pNIT I OWNER/LESSER72/� � _ MANAGER/AGENT J dt11 ADDRESS ci7 ADDRESS CITY r CITY RESIDENCE PHONE , - BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 .�I4 `c�w-2• Prnar�. 3i 7".- 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 DEP TMENT ��COMPLIANCE AND ISSUANCE OF CE�RiTIFFICATTE�. APPLICANTS SIGNATURE ��_/e�SQ'L' DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: Ftp 7 J� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: j6 DATE FEE PAID: TYPE OF UNIT: DWELLINGk/ OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: August 2, 1994 Fax:(508)740-9705 Richard M./ William Quirk 62 Webb St. Salem, Ma. 01970 PROPERTY LOCATED AT 54 Derby St. UNIT# 2L 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 1276, of the Massachusetts General Laws, 105 CMR 400.000: Stale Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter If: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter ll, 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. 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: Ch MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR J - COPW,� CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH . Salem, Massachusetts 01970 ROBERT E.BLENKHORN 9 NORTH STREET HEALTH AGENT 508.741-1800 DATE: June 5, 1992 Richard M Quirk and William R. Quirk 62 Webb Street Salem, MA 01970 PROPERTY~LOCATED AT 54 Derby Street UNIT 0 2 Left 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 I11, Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter _II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department upon issuance of Certificate. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department withiri .24 hours of receipt' of' this notice. (508) 741- 1800 Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to noon to schedule an appointment for an inspection. SHE ENCLOSED SECTION 105 CMB 410.354 METERING OF GAS & ELECTRICITY Very tcculy'yours, FOR THE BOARD OF HEALTH REPLY TO: ���� 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:(978)741-1800 Date: 12/02/97 Fax:(978)740.9705 Richard & William Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 2R 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 q_"V�'",) - Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 03/13/96 Fax:(508)740-9705 Richard & William Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 2R . 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 Departm3nt. 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 �o•uq CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508.741-1800 DATE: /yv)v5t 25, \g�� J�A. Cjj0cN_ h)'\ o CYrn , QJC-� (QZ Lem S ee\- , . em M A GA70 PROPERTY LOCATED ATI�� Y� UNIT 0 Z?\ DEAR SIR/MADAM: It has come to our attention, that you are about to allow rental of a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a Certificate of Fitness before any vacant dwelling unit is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111 , Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334, Certificate of Fitness. There is a tventy-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 ttuly yours , FORnnTHE BOARD OF HEALTH REPLY TO: 7Q�u c E Robert E. Blenkhorn, C.H.O. Health Agent Code Enforcement Inspector v 4 6 t). . 1P CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH,RS.CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: July 15, 1994 Fax:(508)740-9705 Richard &6William Quirk 62 Webb Street Salem, MA 02970 PROPERTY LOCATED AT 54 Derby:;Street UNIT# 3L Dear Sir/Madam: It has come to our attention, that you are about to allow rental of a dwelling unit at the above address. ------ -- ---- It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a Certificate of Fitness before any vacant dwelling unit is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance With Chapter 111, Sections 127A and 1276, of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter It: Minimum Standards of Fitness for Human Habitation,and in accordance with Chapter 11, 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. 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: x X ` c -1 MPH,RS,CHO PABLO VALDEZ M1-IEALTH AGENT CODE ENFORCEMENT INSPECTOR 'Co. a� CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 RORERT E.BLENKHORN 9 NORTH STREET HEALTH AGENT 508-741-1800 DATE: March. 2, 1994 Richard M. & William R. Quirk 62 Webb Street Salem, MA 01970 PROPERTY LOCATED AT 54 Derby Street UNIT # 3R DEAR SIR/MADAM: It has come to our attention, that you are about to allow rental of a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a Certificate of Fitness before any vacant dwelling unit is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111 , Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department upon issuance of Certificate. Failure to comply with this procedure , will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of' this notice. (508) 741- 1800 Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CHR 410.354 METERING OF GAS & ELECTRICITY Very ttuly yours, FOR THE BOARD OF HEALTH REPLY TO: � 'q E6xiJl.n -�� * PABLO VALDEZ Robert E. Blenkhorn, C.H.O. Health Agent Code Enforcement Inspector ti. CERT.# 191-95 PEE $25.00 DATE: 03/30/95 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: 54 Derby Street UNIT #: 5 OWNER/AGENT: Richard Ouirk ADDRESS: 54 Derby Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-6032 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 • � V JOZ TT M 0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR COIy OFFICE USE ONLY CERA". t .1gL_1 . a _ J C. ��.�' DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 .- 9 NORTH STREEI 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". L PROPERTY LOCATED AT S, 7r d –--rUNIT # OWNER/TBSSE& ._ tt r-� .yc� 1 MANAGER/AGENT Jaz' ADDRESSj`Er J�.T_ ADDRESS CITY u, –. 1'yt CITY --- -'-2EST#IENCE-H02 BUSINESS–PHON"-44-­HRS:-)-____—._._. . . . `.73ITSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: _ l. 2.Li t/jq Dor,.3- 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; D ARTHEIiT COMPLIANCE AND ISSUANCE OF CERTIFICATE. 1 APPLICANTS SIGMA DATE – �} " J_ INSPECTORS USE ONLY DATE OF. INITIAL INSPECTION: j ' �a Sl DATE OF REINSPECTION >> DATE OF ISSUANCE OF CERTIFICATE: `jJ� DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR CERT.# 190-95 FEE $25.00 7i DATE: 03/30/95 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 5 , PROPERTY LOCATED AT: 54 Derby Street UNIT #: 6 OWNER/AGENT: Richard Ouirk ADDRESS: 54 Derby Street CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 744-6032 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. FO�D OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR - ��.co�uR4` .• OFFICE USE ONLY ' • CERT. 1_ DATE- CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 9 NORTH STREET 508-741-1800 APPLICATION 'FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY'CODE, .CHAPTER II, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 5 y h UNIT # '6 OWNER/T:ESSERft f �✓J 6iA MANAGER/AGEKfa�, e ' ADDRESS J r, , ADDRESS CITY _f `" - CITY ------RESIDENCE HO '9USIIIESS PHONE' — TOTAL_ NUMBER OF ROOKS:� - ROOM USE: 5. 6. 7_ . 8 THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HOHEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT N COMPLIANCE AND ISSIIANCH OF CERTIFICATE- 'T SIGNA r DATE 3 3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 5 0 '7,i DATE FEE PAID: TYPE OF UNIT: DWELLING V OTHER NOTES: �C CODE ENFORCEMENT INSPECTOR v��gONU1T n �S ��MINS CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 03/11/99 Tel: (978)741-1800 Florence Bergeron Fax: (978)740-9705 223 Washington Street Marblehead, MA 01945 PROPERTY LOCATED AT 58 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. FOR THE BOARD OF HEALTH REPLY TO qoaannet, MP� PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 323-97 FEE $2500 DATE: 05/2Q097 /,y1ryg 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 EITNFSS PROPERTY LOCATED AT: 60 Derby Street UNIT #: 1 OWNER/AGENT: Jean Conant ADDRESS: 49 Chestnut Street CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 631-4595 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 Ldle,� 4al JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 SSS. . IA :R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT O 3 UNIT I OWNER/LESSER �JY �j �„ / MANAGER/AGENT ADDRESS � ���... ADDRESS CITY / �l.Uri" �� � </+'� CITY _ RESIDENCE PHONE/ 7 4 • `-?/ BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 5. 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 INSPECTORS USE ONLY DA'Z'E OF INITIAL INSPECTION: `>� � "7 —7DATE OF REINSPECTION� DATE OF ISSUANCE OF CERTIFICATE:�9-7 —'/ 7 -DATE FEE PAID:� TYPE OF UNIT: DWELLING OTHER -- NOTES : 7�- CODE ENFORCEMENT INSPECTOR v� CERT.# 136-96 3` 6 " FEE $25.00 DATE: 03/06/96 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: 60 Derby Street UNIT #: 1 OWNER/AGENT: Jean Conant ADDRESS: 49 Chestnut Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-4595 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 ) A JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r 3 " A 2 CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT rp lj �li' UNIT I -- OWNER/LASER E/ S, ( o MANAGER/AGENT ADDRESS y�/ / �� ADDRESS CITY CITY � il�/1i tiI/ �l4ff / / 4!//51 CITY RESIDENCE PHONE__ �p BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:Z Al ROOM USE: I.k-7�J _2._,&g—._3 THERE IS A TWENTY–FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM'BEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIKE OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:, DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_,ii_–�II—DATE FEE PAID:—I- A--I-&-- TYPE OF UNIT: DWELI.INGOTHER NOTES: CODE ENFORCEMENT INSPECTOR — 3 k F 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: 02/28/96 Fax:(508)740-9705 Jean Sortevik 34 Beach Street Marblehead, MA 01945 PROPERTY LOCATED AT 60 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. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO i i Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 , ^^ TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#376-04 DATE ISSUED: 08/11/2004 Property Located at: 60 Derby Street UNIT#2 Owner/Agent: Jean S. Conant Address: 49 Chestnut Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-4595 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. R THE BOARD QJIF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY _6SOVICZ, 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 PABITATIO PROPERTY LOCATED AT �j�//�T� G/ UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE1 7• ��� MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS Z ADDRESS CITY ° l��y�W,�t"1� // `c ,�_ CITY RESIDENCE PHONE -tUSINESS 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 SIGNATU DAT l dT IN USE ONLY DATE OF INITIAL INSPECTION:j�- L 1 "0 � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: I / 5—f DATE FEE PAID: 9_;1 1 0 ..r TYPE OF UNIT: DWELLING OTHER CHECK#_CHECK DATE -6'j- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CONDI City of Salem, Massachusetts n Board of Health 120 Washington Street, 4th Floor, Salem, P111; elal h MA01970 Prevent Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-443 DATE ISSUED: 11/10/2016 Property Located at: 62 DERBY STREET UNIT#1 Owner/Agent: Gajewski Trust Address: 47 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 979-6203 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. r Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY"DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN&SALEM.COM LARRY RAMDIN,RS/RF-HS,CHO,CP-FS HEALTH AGLN'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $550.00 PROPERTY LOCATED AT lot T)-E\� :4 X74 - UNIT#�_ IS THIS UNIT DISIGNATED AS RIGI#r LEFT FRONT OR BACK PLEASE CIRCLE ONE �J- OWNER/LESSER(_g4 e �DSIMANAGER/AGENT-\b(V�9 NO P.O.BOX ADDRESS ADDRESS CITY, STATE,ZIP T � SvCITY, STATE,ZIP RESIDENCE PHONE((1-1�L-ariot—(oZ� BUSINESS PHONE(24HRS) 501,h/-- �— BUSINESS PHONE Go^ TOTAL NUMBER OF ROOMS: Go ROOM USE: L L_ \ - 2. I C\ 3.V 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ri AB AT T IME Oq INSPECTION / APPLICANT'S SIGNATURE ` DATE Inspectors use only Date on initial inspection: l �1i/f��b Date of reinspection: Date of issuance of certificate: Date fee paid: 44 Type of unit: Dwe(IGnP Other �l Check# Check date: F q Notes: p. �U,Yl 1, C '�"'�6a'II���^o� j�rF�r�.v� /�i=P+err.,(�' i7fYn �^e ;I¢PJP c- f ,9 rcement Itt ctor S oxol CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 6-03 SALEM, MA 01970 FEE $25 .00 TEL. 978-741-1 800 DATE: 01/08/2003 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 62 Derby Street UNIT #: 2 OWNER/AGENT: P. Sholds, Trustee ADDRESS: 47 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 337-3489 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 1 JOANNE SCOTT, MPA,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH v ` 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT#Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT (["4recS No P.O. Box No P.O. Box ADDRESS ADDRESS Y ,7 £SS Sl - CITY CITYSoq-/1_l" RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 9_71�—Z? '3S(drf BUSINESS PHONE 69M +e TOTAL NUMBER OF ROOMS: C ROOM USE: 1. 1,4 2. Den 3. t 4. A;n 5. d t 6.ak7. 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 SIGNATUREPSC/f d2` 4dT DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION f� DATE OF ISSUANCE OF CERTIFICATE: / 6 3 DATE FEE PAID: / 023 TYPE OF UNIT: DWELLING_OTHER_ CHECK CHECK DATE �� a NOTES: - CODE ENFORCEMENT NSPECTOR ✓� 9/28/98 J' co rr CITY OF SALEM, MASSACHUSETTS �y� f BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 5-03 SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 '�B�91yj DATE: 01/08/2003 FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT. MPH. RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 62 Derby Street UNIT #: 3 OWNER/AGENT: P.Shoulds, Trustee ADDRESS: 47 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 337-3489 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 IT, "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 OFF HEALTH let- i JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR g co CITY OF SALEM, MASSACHUSETTS O3 �v BOARD OF HEALTH 3 > 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". PROPERTY LOCATED AT lam.2 t)c✓'Fo v ST UNIT#3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGEPJAGENTP. QlaLIc CTxvsrez) No P.O. Box No P.O. Box ADDRESS ADDRESS CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 92r-3,7 BUSINESS PHONE soft c TOTAL NUMBER OF ROOMS: ROOM USE: 1.—<A- 2. a✓�_3. t�./ 4. l� ►h 5_199 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 _ /� %dC. T arTee DATE d' O INSPECTORS 9SE ONLY / DATE OF INITIAL INSPECTION DATE OF REINSPECTION N DATE OF ISSUANCE OF CERTIFICATEDATE FEE PAID: TYPE OF UNIT: DWELLING OTHER CHECK# oZ. / 3 CHECK DATE NOTES: c / i C DE ENFORCEMENT INSPECTO 9/28/98 E JL CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH . Salem, Massachusetts 01970 ROBERT E. BLENKNORN 3 9 NORTH STREET HEALTH AGENT ,cI 508.741.1800 ' l DATE: February 25, 1993 y) � Anna F. Eismund 65 Derby Street Sal em,MMA. 01970 PROPERTY iACATED AT 65 Derby Street 7 UNIT 4 1 DEAR`-SIR/MADAM It has come ,to our attention,''that you are-about to allow rental of a dwelling unit at{thea k -„address.. It ria incumbent upon you as owner(a) to contact .the City of Salem Health Department to4applytfox. ,a,Certificate of Fitness before any vacant dwelling, unit is rented or up occup�red Eacfi Ut 12iug unit must tie inspected and certified by the Salem Health Department prion to'Lailowing.occupancy in accordance with' Chapter 111, Sections 127A and 127B, of Cfie.;Massachusetts General Laws, 105 CMR 400.00,0: State Sanitary Code, Chapter I: .> General Ad ministrative' Procedures -and 105 CMR 410,000: State Sanitary Code, Chap- _ -Cer'"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 resulf 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 & ELECTRICITY Ve^p'L�fiily yvuY9 FOR THE BOARD OF HEALTH REPLY TO: Robert E. Blenkhorn, C.H.O. PABLO VALDE3 Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD QF HFALTH ' 120 WASHINGTON STREET,4... FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRITM9AUM S,%j,1w.00i%1 DAvfD Giu;uNBAUM A('I'IN(� WALI'Ff A(ii],N,I CERTIFICATE OF FITNESS CERTIFICATE#315-09 DATE ISSUED: 7/2/2009 Property Located at: 72 Derby Street UNIT# 1 Owner/Agent: Noreen Casey Address: 123 Bay View Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LUM ACTING HEALTH AGENT C E FORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS S BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRis1.:NBAUN1 SA1.r M.COM DAVID G'REENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 n 1 _ r ,� PROPERTY LOCATED AT 1� �I'J-� �� �G(� UNIT# IS THIS UNIT DISIGNATED AS RIGHt LEFT FRON OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ` "� �� �e MANAGER/AGENT NO P.O.BOX f � ADDRESS �y3 `�Q1,\4-a� n ADDRESS CITY, STATE,ZIP :�aw wt I M Al r�0\°nO CITY, STATE,ZIP RESIDENCE PHONE 'Ql 6 (��� /��J / BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ l ROOM USE: 1. 2. L\'j 3. `J' L 4. Q �D' 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THETIMEE OF INSPECTION APPLICANT'S SIGNATURE �v .e��Q DATE_I',� Inspectors use only q Date on initial inspection: Wain Date of reinspection: � �7 Date of issuance of certificate: 9 Date fee paid: Typeunit: Dwelling ✓ Other Check#Check date: awt 7q Nlot�es �u de nforcement Inspector � it CITY OF SALEM, MASSACHUSETTS • + • BOARD OF HEALTH 120 WASHINGTON STREET,4''FLOOR TEL. (978) 741-1800 HIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR OCRerNBAUM9SAU-N.COM DAvID GRF.ENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#62-10 DATE ISSUED: 2/8/2010 Property Located at: 72 Derby Street UNIT#2 Owner/Agent: Patrick Griffin Address: 123 Bay View Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH � AiQ AV�EENBAUM ai7t��Cl�'G ACTING HEALTH AGENT CObSZAFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I e BOARD OF HE.-1LTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREHNBAUNI SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT �� e ST T UNIT# vL IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSERAV / /�G/ MANAGER/AGENT NO P.O. BOX ADDRESS i ADDRESS CITY, STATE,ZIP< JfT�� CITY, STATE,ZIP g � RESIDENCE PHONE 2 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: .7 ROOM USE: 1.Ly c/ 2. le TC%{ 3. 4.,&/ 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTHTHIS FE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA /C i % DATE," / 0 V/ Inspectors use only Date on initial inspection: a`� �� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_Check date: — 9 —)b Notes: 1yrVl V'NO+' vn r e -k-) CecLc,l MkY1. ( CodC forcemeat Inspector 6 Y aY S y r CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT - Tel:(978)741-1800 10/28/99 Fax:(978)740-9705 Michael & Maureen Cooney 11 Hilltop Circle W. Newbury, MA 01985 PROPERTY LOCATED AT 72 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 %III 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 CMRj 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. I 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. j 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. BOARDlD REPLY TO ?oafne' t, MPH,RS,CHO PABLO VALDEZ Health Agent - CODE ENFORCEMENT INSPECTOR i ye CERT.# 631-97 3 3i FEE $25.00 DATE: 09/10/97 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: 81 Derby Street UNIT #: 1 OWNER/AGENT: Jean-Pierre Draczuk c/o Orille L'Heureux ADDRESS: 22 Francis Road CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-3596 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 / U JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 03970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT # / OWNER/LESSER v E-4AI- P 1 EA ,?t 0,�?ACZC11< 904,6E3t1ACENT 4 U� E ADDRESS 2-), L/E .,Lal/ ADDRESS 2 2- �i2��GIf R/J CITY 3 I'o a 51V t14 el—15 L4— CITY f A Le ,4-je RESIDENCE PHONE (! VS- A-7-- S'? 7 '7 BUSINESS PHONE (24 HRS.) BUSINESS.PHONE T TOTAL NUMBER OF ROOMS: `7` ROOM USE: 1. 7" 2. l y 3. 4 . 5. . 6. 7. $, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM' HEALTH DEPARTMENT THIS FEE, IS PAYABLE AT THE TIRE OF INSPECTION y APPLICANTS SIGNATURE 4 8 —DATE - la-; �j F INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:-,F- '/"a -� DATE OF REINSPECTION— DATE EINSPECTIONDATE OF ISSUANCE OF CERTII�FICATE:_f~ /O DATE FEE PAID �d TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR r co•ort� CERT.0 18-94 FEF. „$ 25.00 DATE: 1/10/94 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN - 9 NORTH STREET HEALTH AGENT _ 508-741-1600 CERTIFICATE OF FITNESS PROPERTY LOCATED AT 82 Derby Street UNIT 1 2 OWNER/AGENT Derby Properties Inc. ADDRESS 4 Upton Terrace CITY/TOWN Medford, MA . ZIP CODE 02155 24 HOUR PHONE 617-945-1953 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 ORCE INSPECfOR �r� it i f s� r • 5u4� r'v. °"\� rvk'a -"' '".: 'i - y USE ONLY }... , WS ' tyU t G4,� � • -S t t i�• y✓'R J � �1 V�'^l ��n-ftLt Y � r r R M Y. ` �,, q- n." r�'t'tiP +V''t yy� *rY's�e{'y Y:h�'Wna� � DATE•,�/—'��'-4�'_ yi ,•.�ry5 ..+. �. •`s, . •. a 14+4"'- . CITY OF SALEM ,HEALTH DEPARTMENT. , BOARD;OF HEALTH...` Salem,;Massachusetts 01970 ttoe6ar 9 NORTH STREET NS-74 1800 APPLICATION POR CERTIFICATE OF FT[NBSS IN'ACCORDANCE.WITH STATE SANITARY'CODE, (CHAPTER II, _105 CHR 410000 won= STANDARDS OF FITHESS FOR HUNAN HABITATION". , PROPERTY LOCATBD.A2 UNIT / Oi1N8R/T•ESSBB'' �� Ole �; yC 11ANAGBs/ACEeT S/��1'/. E?• dDDEESS� � .� �� .ADDRESS . CITY l C Q o�/S� ony !_ `r68SLUEA B�HOBS aLy�7^ �/:' BUSINESS"PHONE (24. BBS. Bus t` s a( 79 4'S 9. s 3 (�19re,R TOTAL'NDMER OF ROOMS: r • ROOM USS. L. cC . 2:�x-c Q 3. a 20 /✓ 4.Lt �U� . 5. 6. 7. 8. Tris'TS A TRENTr–ME (25.00) DOLLAR FEE, PAYABLE BY CM= OR HONEY-ORDER TO THE _CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AHD ISSUANCE OF CERTIFICATE. APPLICLHTS SIGMA INSPECTORS U ONLY DATE OR INITIAL INSPECTION: 4 Z—/ q 'f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: — Q DATE FEE PAID:_ TYPE OF UNIT: DUELLING; OTHER NOTES: CODE ENFORCEMENT INSPECTOR c CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#236-07 DATE ISSUED: 5/22/2007 Property Located at: 82 Derby Street UNIT#3 Owner/Agent: Derby Realty Trust Address: 4 Upton Terrace City/Town: Medford, MA Zip Code: 24 Hour Phone: 617-828-9434 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH e JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR { CrTY OF SALEM, MASSACHUSEI I BOARD OF HEALTH • 120 WASHINGTON STREET. 4TH FLOOR SALEM, MA 01970 I TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor 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 D _ - _ t__-__ UNIT 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONS BACK PLEASE CIRCLE OHNE f [� OWN I-R/ ESSI-R 1�,p2-, p�Ls2��MANAGERIAGENT_j�C1 � I Id I 1 `( Yl. Q No P.O. Box No P.O. Box ADDRESS±.A1 1 i ___--ADDRESS------- CITY__-i v -- CITY —1t --- RESIDENCE PHONE_-__ __—_BUSINESS PHONE (24 HRS.) ____ BUSINESS PHONE TOTAL NUMBER OF ROCYJS: 4 ___ V IZ ROOM USE: 1...--- -- 2'— -__--"3'- - ---- -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. t APPLICANTS SIGNATURE,_ _ _ —DATE_S_ �`-0 -7 INSPFC_TORS USE ONLY LATE OF INITIAL lNS?ECTiON , , DA%E: OF REINSPFCI ION DATE OF ISSUANCE OF CERTIFICATE _ DATE FEE PAID._ TYPE OF UNIT DWELLING OTHLR CHECK ;; awK49g CHECK DAT,= NOTES CO )C: l:N C)(jCf-h1vNI :TOf 4 H" ,2 3 y1 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 Date: 9/7/94 Dorothy Michalowski, Thomas J. & Akuura Kulak 28 Becket Street Salem, Ma 01970 PROPERTY LOCATED AT 85 Derby Street UNIT # 1L Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department . Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IMANCINI@SAI,HM.COM JANE'C MANCINI ACTING HEALTH AGL'NP CERTIFICATE OF FITNESS CERTIFICATE#010-09 DATE ISSUED: 1/15/2009 Property Located at: 85 Derby Street UNIT# 1 R Owner/Agent: Richard Savickey Address: 36 Dearborn Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH MANCI )NgET TING HEALTH AGENT C009 ENFORCEM5W INSPECTOR CG� �nvt.�S� o(n,09 CITY OF SALEM, N[ASSACHUSETfS BOARD OF HEALTH 120 WASHINGTON STREET,e'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR 1Q10NN6@5ALEM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 sT PROPERTY LOCATED AT r 3 ST, SAL aJ.4, M A U i 4 7o UNIT# I P—Ic4-A IS THIS UNIT DISIGNATED AS Ri H r LEFT'FRONS OR BACK PLEASE CIRCLE ONE OWNER/LESSER ftlwARA SA trice. MANAGER/AGENT NO P.O.BOX ADDRESS 3 b D eA R.Z o p-.,u S T . ADDRESS CITY,STATE,ZIP to, o t 9 70 CITY,STATE,ZIP RESIDENCE PHONE > - > ' - X332 3 BUSINESS PHONE(24HRS} SA m BUSINESS PHONE SAM I' TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. V-1-r 2. 3 e'-b 3. U vi�vC 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Ins ectors use olsk Date on initial inspection: � '1 �J Jc� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other -Check#_,� Check date: i Notes: tAy Q;j,-ec 1��} -6T llsfR aol� _±0 �� y.�l�V1 1107' -�34 a VtdQ cc C1RJtP Of i t c SI ct I Code Enforcement Inspector L - -'HP'Fax Series 900 Fax History Report for Plain-Paper-Fax/Copier Joanne Smtt-Salem BOH 978 745 0343 Jau 20 20QQ 3:Mpm Last Fax -Q=-- lima— a- Result Jan 20 3:36pm Sent 919787443339 0:33 - 1 OK Result: OK— black and White-fax- �......c.... n � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 03/03/2000 Fax:(978)740-9705 Richard Savickey 36 Dearborn Street Salem, MA 01970 PROPERTY LOCATED AT 85 Derby Street UNIT # 2L 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 meters) records electricity and gas,use which is not used "�—' �=�wner=�-fo- heir=tenants'.-entire utility bills retroaeE�,ue¢`to the�date ofenitral�� � -�-_+ occupancy'iri'cases in which cross-metering has been°proven' to exist.' ' R THE BOARD 0 HEALTH REPLY TO oanne sco MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS "g BOARD OF HEALTH 3 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 05/01/2002 Richard Savickey 36 Dearborn Street Salem, MA 01970 PROPERTY LOCATED AT 85 Derby Street UNIT # 2 Right 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. 40R. THE BOARD H TH REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 3 � mr� i 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: 02/11/98 Fax:(978)740-9705 Richard Savickey 36 Dearborn Street Salem, MA 01970 PROPERTY LOCATED AT 85 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 U Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSE'I"TS 10 BOARD of HEALTH ublicHealth 120 WASHINGTON STRLET,41° P FLOOR rr:[a TEI:,. (978) 741-1800 F x(978) 745-0343 KIMBERLEY DRISCOLL liamdin n salem.com L,ARItY RrAb1UIN,RS/RI?I-IS,CHO,C11-1;5 MAYOR Hvm.:n-I ACI:N'I, CERTIFICATE OF FITNESS CERTIFICATE #107-12 DATE ISSUED: 3/19/2012 Property Located at: 86 Derby Street UNIT# 1 Owner/Agent: Ryan Mocione Address: 48 Forrester Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-317-5122 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 11" 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 LARLAR� HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREE'1',4ni FLUOR - TEL. (978) 741-1800 I<IMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR BA,WUINQ7 ALHa1.WN1 L,Amn,R,AMI)IN,RS/111(1 IS,Cl K),CP-15 - Hi;,\j:rII AalcN'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" (� 11F--EE: $50.00 PROPERTY LOCATED AT � \lam i(b y UNIT#__ IS THIS UNIT DISIGNATED AS RIG T LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER FV j) /Vloc%b ) e MANAGER/AGENT & /�0c ion - NO P.O. BOX �^ - ADDRESS y g ` `��fPSlef S } ADDRESS y g Fo/YPS�-J 5 CITY, STATE,ZIP <a k'vl-) AA- Cx 9m CITY, STATE,ZIP �QbV"X A,& © (9-7 RESIDENCE PHONE q7 g " 31�) - I of a BUSINESS PHONE(24HRS) �17�' ' 31-7 -51 a � 1 BUSINESS PHONE 4-7S' 31 ? St ' a TOTAL NUMBER OF ROOMS: S ROOM USE: 1. L• 2 2. K,'F�k" 3. Y16Imw� 4. TgcAkcb: 5. CNYI c2. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FC�ABLE T THE TIME OF INSPECTION APPLICANT'S SIGNATURE � DATE Inspectors use only Date on initial inspection: .7 -)g , Date of reinspection: Date of issuance of certificate: 7' lei I�- Date fee paid: Type of unit: Dwelling__J.� Other - Check#_k?:: Check date: 1- Notes: �. C e Enfor ent Inspector ' e n, r y CITY OF SALEM, MASSACHUSETTS BOARD OF HFAL.TFI 120 WASHINGTON STREET,41''FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.RAMDIN&AIENIXYJM L/ARItY R,AMINN,RS/R1;'I IS,CI IO,CP-I�s I-INAI xt I AG INT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes;regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. 1P�`c�P 1Jto„n 2 �rrn /Ordn Tenan/Lessee Owner/Lessor day S1 �b S+- Address Address Address on unit to be inspected Date Updated 523/11 - s CITY OF SALEM MASSACHUSETTS r m � BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR cgiea itb STREET, Prt.�n,.r..,mmc.Prma,. TEI.,. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinnsalem.com LARItI'RAMUIN,AS/RI:I1S,C[7Q CP-P5 MAYOR HF Al.rrl A(;1;Nr CERTIFICATE OF FITNESS CERTIFICATE #108-12 DATE ISSUED: 3/19/2012 Property Located at: 86 Derby Street UNIT#2 Owner/Agent: Ryan Mocione Address: 48 Forrester Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-317-5122 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN / HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I _ BOARD OF HEALTH 120 WASFIINGTON STREm',4"'FLOOR TEL. (978) 741-1800 KIMBERL.EY DRISCOLL. FAX (978) 745-0343 MAYOR 1.RnMDIN&A1.Ny1.00M LARRY R,AIDINJtS/1w1Is,(:I10,C)'-F5 - I-Irm:i'I l A(;I':N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT (26 l>,C by c�j UNIT# -63 IS THIS UN�ITgDISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNEWLESSER &or\ MANAGERIAGII''ENT �V�aAbA -2 NO P.O. BOX (( IIY P3C.S1e ADDRESS y� �nrto5leJ' yF" ADDRESS ( 5f CITY, STATE,ZIP 4 -WQV'V-\ . MA d(` L ITY, STATE, ZIP RESIDENCE PHONE SINESS PHONE(24HRS) GP7Q -317 ,;; 1 cD BUSINESS PHONE q 19 �a� TOTAL NUMBER OF ROOMS:— ROOM USE: L L e K 2. Ki FCCIQ/1 3. (R_ AropV\ 4. 5. t 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I A EAT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 1� Inspectors use only Date on initial inspection: -2 ^\ON — 1 7— Date of reinspection: Date of issuance of certificate: �3"�� ` 1- Date fee paid: \�- Type of unit: Dwelling �Other Check# I Ll-. Check date: Notes: od*Enfor Lement Inspector z CITY OF SALEM, MASSACHUSETTS Bo.mRD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR PublicHeAlth Crcrcnl-I'rnmmc. Pn'trr. TEL. (97 8) 741-1800 FAt(978) 745-0343 KIMBERLEY DRISCOLL 1tainding,saleui.com LARRY RA NMIN,RS/RE 1 IS,CI 10,CP-FS MAYOR Hj;A1:7'11 AG E;N'r CERTIFICATE OF FITNESS CERTIFICATE# 109-12 DATE ISSUED: 3/19/2012 Property Located at: 86 Derby Street UNIT#3 Owner/Agent: Ryan Mocione Address: 48 Forrester Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-317-5122 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 14 LA*Y RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR y CITY OF SALEM, MASSACHUSETTS 6 �� BOARD OF HEAi,TFI 6 120 WASHINGTON STREET,4"' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR �(n�1ixN(a snlr;na.com LAim)'RAIb(I)IN,RS/RI'.I IS,(;I 10,01-16 - Hvm:rii A(;ixr 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 go(�, C)e4 10 �+ UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE . OWNER/LESSER (12\1(:)\ MCcaCon-0— MANAGER/AGENTT��� Q 1%^ ADDRESS !Z(O � 1V rt 4A ADDRESSq?L,C_6�Y <I CITY, STATE,ZIP �O JA Oft 10 CITY, STATE,ZII' RESIDENCE PHONE—79 'S'laa BUSINESS PHONE(24HRS)q?Z – 3(? BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. Ciel 2. 141 k ,­\3. Beao4". 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DAT / DATE 5 Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ' 1 1 Date fee paid: Type of unit: Dwelling_S/ Other Check# 1 Z1 Check date: Notes: ode Enfor ement Inspector f CITY OF SALEM, MASSACHUSETTS + % BOARD OF HF,IufH - 120 WASHINGTON STREET,4°1 FLOOR TFL. (978) 741-1800 ]QMBERLEY DRISCOLL Fax (978) 745-0343 MAYOR 1.RAMDIN p SNA±N1.COM LARRY R,ANIDIN,RS/RHI IS,(J 10,CI7-FS HFAI;III AG ISN'I' Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor f 3 Address Address Address on unit to be inspected �31is �ca Date Updated 523/11 III Thomas P kl Jlhld 1 -11y76 P.O. Box 954945484 Las Vegas, NV 89193-5484 CITf HEALTH DEPT. -°�- ,. �E a • _ ' ;'fit .���.. � M1 , ' � � l t . t ..�+. c_ r . i �. `! >,�..< S n f._f.. _. �•"_` it .... 1 ��.: L_�:x•:. n f t RAF.n. ,. ..}1.a 1,..at a .i�..�t. ,�a..t ."� t 2'.�_ r`�e�...v.- . _ q. ...l.i - yti ti i f .M {} r l.�r.e �•r yf s— ��1 1)`'_:'._:�i k' \.. ` r __—._c... - . _ .� t '4e.' -.) ' �.r t`+ x � .._t.a :i +r N�.t.� 1'.. -R__Y �i._�-v+- 1 � 3. �e3#` 3.t.' . ..5.� ..+.w.^..;.�. � t`�, _'.. :i � w ^t..Y.^.� .afi Jr 9 '(..__ e.t .fin � � — . •_ s �., V _..1. '... '� .i ._ . i..i�Lc�s.fv� ..��_�"`.�.� w.J ./wx Ir vv -t. .-.rAt. 'n S..ly,'_�-r. �� �.. .� - z �. �+.5. e fi-!. A R w f rs.a' ':'� ..,-J ..d S 3.h � ht/� � j � � ':,'J, 7.sl'. z v its�sG..:� ^f••^' . � � \ 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: 05/22/96 Fax:(508)740-9705 Blanche Paskowski c/o Thomas Paskowski P.O. Box 95484 Las Vegas, NV 89193 PROPERTY LOCATED AT 92 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- ive (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 HE TH REPLY TO l` Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS o BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 "ANe TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 5/18/06 John P. Paskowski 16 Chester Street Danvers, MA 01923 PROPERTY LOCATED AT 92 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 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. r the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH q 120 WASHINGTON STREET, 4TH FLOOR 1 f a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/14/05 John P. Paskowski 16 Chester Street Danvers, MA 01923 PROPERTY LOCATED AT 92 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 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. F he Board of Health. Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 504-00 FEE $25 .00 a 4 DATE: 08/15/2000 °�MpuE 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: 92 Derby Street UNIT #: 2 OWNER/AGENT: Peter Paskowski ADDRESS: 92 Derby Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3642 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 . THE BOARD OF EALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • U.I A� • yCv � '�� 'LSV / r \/ 3 � L CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS, CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 9� [1P UNIT# l� IS THIS UNIT DESIGNATED AS RIGHT /L/EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER AGER/AGENT No P.O. Bo�y, No P.O. Box ADDRESS y� 6 Y C? ' ADDRESS CITY 5 Ile e4In qn,- ' r) l 9 Z d CITY RESIDENCE PHONE 2 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._ _2._�3._ 4.� 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. C APPLICANTS SIGNATURE DAT INSPECTORS USE ONLY DATE OF INITIAL INSPECTION (� -( J - O _D DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:!?-/5-0 a DATE FEE PAID: 9 _f "D o TYPE OF UNIT: DWELLINt OTHER_ CHECK# /6 CHECK DATE /J� NOTES: / 1\ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR .ry SALEM, MA 01970 .yBp� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#329-04 DATE ISSUED: 07/15/2004 Property Located at: 92 Derby Street UNIT#3 Owner/Agent: Peter Paskowski Address: 16 Chester Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-697-4806 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 t �� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ,� .. TEL. 978-741-1800 Q'b� FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". FI PROPERTY LOCATED AT `2 6�P!/i l d D UNIT#3 IS THIS UNIT DESIGNATED AS-BIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER b Z54 4( MANAGER/AGENT No P.O. Box / �+ No P.O. Box ADDRE`S'SS 16 l eS A,e S ADDRESS CITYI e Le=g=SM14 CITY RESIDENCE PHONE 977-697-06 BUSINESS PHONE (24 HRS.) 97d'" 6 Y&06 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. &1 //4 2. C1�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 L DATE �S . INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7ji"Icy DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ,de T DATE FEE PAID: TYPE OF UNIT: DWELLING e/6THER_ CHECK#_ ?o _CHECK DATE NOTES: CODE ENFORCEMENT SPECTOR 9/28/98 CITY OF SALEM BOARD OF HEALTH Salem, Massac h usetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO ..,,��JL� NINE NORTH STREET HEALTH AGENT ✓✓✓vvv^^MM'M"'.�� / Tel:(508)741-1800 Date: 08/31/95 5 Fac:(508)740-9705 Charles & Dianne Sheridan 18 Villanova Drive ' Weston, MA 01886 PROPERTY LOCATED AT 94 Derby Street UNIT # 7 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 certif.ied,by_the_ Salem Health Department prior..to allowing,oecupancy 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'.2-33A, 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 isoccupiedwithout 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. .r SEE ENCLOSED SECTION 105 CMR- 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, 3. - FOR THE BOARD.-OF HEALTH .. .. --. . . REPLY TO,, U T_';;5 Joanne Scott., MPH,RS„OHO „PABLO VALDEZ HEALTH ACENT_. ;. , , � . „, . . .CODE ENFORCEMENT INSPECTOR _ CERT.# 122-93 r 1 FEE: .,$ 25.00 .. •2+••,�. � DATE: 2/3/93 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 PROP&R! LOCATED AT 94 Derby`S"treet' UNIT .1 7 4£r r sr5 - ;- +�i+'�J rOWNER/AGENT Charles Sheridan WP ADDRESStw 18 Villanour Dtive F �' CITY/,TOWN Westford; MA' ZIP CODE 018$6 r � 24'HODR PHONE 508-692-5482 v SAN INSP,gCTION OF YOURMACANT DWELLING/ROOMING UNITdAT TRE' ABOVE ADDRESS,HAS. k BEE PPROVBDAND IS INrCOMPIIAACB WITH 105.CMW 410':000 MASSACHUSETTS: STATE `r1ZN i_ SQA IITARY%-ODE CHAPTER II,�'MINIMOM:.STANDARDS OF,?FITNESS""FOR HUMAN HABITATION". � • g $fAr 3 THEREEORE,�THIS CERTIFICATE IS ISSDED BY THE CODE ENFORCEMENT. DIVISION OF THE y'S'ALEMOQMH*DEPARTMENT AND THE rtUNIT:,MAY NOW BE'RENTED AND/OR OCCUPIED IR MA7CIMOMn*NUMBECOF".OCCUPANTS ' BASED; ON 105 CMR 410.000: MASSACHUSETTS STATE SANI'TARY­:CODE,`CHAPTER II,-;='MINIMUM! STANDARDS OF-:FITNESS FOR HUMAN HABITATION", SECTION= 10.400` (B): DWELLING' UNIT X AND 410.400 (C): ROOMING UNIT MIN, 'SQUARE FOOTAGE FOR SLEEPING PURPOSES: NOT E. ' `THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW'.FOR OCCUPANTS UNDER 6 YEARS .OF AGE. FOR THE BOARD OF HEALTH �I21 ROBERT E. BLENKHORN, C.H.O. ( G V c G HEALTH AGENT CO NFORCEMENT INSPECTC111 Cop OFFICE USE ONLY 3 CERA'. I a � +ro, DATE: CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 •HO8EAT-E-8L-ENKHOR9 .. - - - .. _ 9 NORTH STRFEI HEALTH AGENT 508-741-1800 APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY' CODE, ,CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT C( y c RQ�1 UNIT #�_ OWNER/LESSER H A R L C S S t4 C P N MANAGER/AGENT L CS L E yJ (n M Al A G C M F-+. C ADDRESS 1g UiLLBaloUrA p2 ADDRESS T.0 U0 ly (o CITY VJ TFO2IJ , (1.1A ofS�6 CITY . I/YIAKQLc H- 1�IQ -'RESIDENCE PHONE SOe 4/'2 - 2- BUSINESS PHONE (24 HRS.) C) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 . (jC6(Zou n 2, (�E�gotO13. I- IU1OG 4. KITCHC- AJ 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 &CLY1 KQ_ -_i� C�4 t.J a DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '� 2i DATE FEE PAID: cC TYPE OF UNIT: DWELLING OTHER NOTES: rnnR >:NFORCFMF NT rNSPRGTOR 1 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: 05/15/96 Fax:(508)740-9705 Charles Shachat 48 Essex Street Apt. 8 Salem, MA 01970 PROPERTY LOCATED AT 94 Derby Street UNIT # 8 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 l. Y Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR copW,� CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 9 NORTH STREET 508-741-1800 DATE: March 17, 1994 Charles D. Shachat 76 Marlborough Street 1144 Boston, MA 02116 PROPERTY LOCATED AT 94 Derby Street UNIT 0 8 DEAR SIR/MADAM: It has come to our attention, that you are about to allow rental of a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a Certificate of Fitness before any vacant dwelling unit. is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111 , Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Cade, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary 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. Failureto 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 Mily`yours, FOR THE BOARD OF HEALTH REPLY TO: PABLO VALDEZ " ', .' „ _. Code Enforcement Inspector ACTING HEALTH AGENT 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: 03/18/97 Fax:(508)740-9705 Anthony & Marie Guerriero - 94 Derby Street #9 Salem, MA 01970 PROPERTY LOCATED AT 94 Derby Street UNIT # 9 Dear Sir/Madam: - It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five- (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the .dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEF ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY - Very truly yours, FOR THE BOARD OF HEALTH REPLY TO qo"_JJoanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR 7 op 9 � � , ' r 1 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT 508.741-1800 DATE: March 12, 1992 Charles & Dianne Sheridan 18 Villanova Drive Westford, MA 01886 PROPERTY LOCATED AT 94 Derby Street UNIT U 9 DEAR SIR/MADAM: It. has come to our attention, that you are about to allow rental of a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a Certificate of Fitness before any vacant dwelling unit is rented or occupied. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111 , Sections 127A and 127B, of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap- ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department upon issuance of Certificate. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of' this notice. (508) 741-1800 Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO: ,,0 E � Robert E. Blenkhorn, C.H.O. PABLO VALDEE Health Agent Code Enforcement Inspector 3 yj 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; 10/14/94 Fax:(508)740-9705 Alice & Dolores Jordan 97 Derby Street Salem, MA 01970 PROPERTY LOCATED AT 97 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 9VI-^o�' � Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR e�`� CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH 3 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 05/13/2002 Alice & Dolores Jordan 97 Derby Street Salem, MA 01970 PROPERTY LOCATED AT 99 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants ' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. F9P THE BOARD OF HEALTH REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i o� CITY OF SALEM, MASSACHUSETTS ro BOARD OF HEALTH j s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll W W W.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #280-07 DATE ISSUED: 6/7/2007 Property Located at: 100 Derby Street UNIT# 1 Owner/Agent: Martine Shea Address: 23 Belleau Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 1:216 Lj;ey J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • '� BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOORSALEM, MA l}'�,.r@� �® TEL. 978-741-1800 RECE� • EU FAX 978-745-0343 .1 Fj nI� JOANNE SCOTT, MPH, RS, CHO [JUN 1 22007 Kimberley Driscoll HEALTH AGENT CITY OF SALEM Mayor BOARD OF HEALTH 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 /00 UNIT# 7 IS THIS UNIT DESIGNATED AS RIGHT LEF FRONT ACK PLEASE CIRCLE ONE OWNER/LESSER NAkTINC- Py5/4- MANAGER/AGENT No P.O. Box Z 3 No P.O. Box ADDRESS �� 2� _ADDRESS CITY 5A-(- F"r1 _CITY RESIDENCE PHONE `fi78 74> ' 29gy BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 1-11)/IJ62. KIr�MG^l3. 132 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. /J APPLICANTS SIGNATUf��� _DATE G /� ? INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 6 -2 -0 ? DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:r -?-o 7 DATE FEE PAID: 7 TYPE OF UNIT: DWELLI OTHER CHECK# / ), 97-CHECK DATE 6 -7 - 07 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98