DEWEY DRIVE CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
t1EALTH AGENT
SOB-741-18010
DATE:
--P.o• L-�x to
I �ro AA P,
PROPERTY LOCATED AT Z Pr Ii— NE'�I �1^VG UNIT f g
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 .lI: 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 withid.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 6 ELECTRICITY
Very t4g1y'yo t§',
FOR THE BOARD OF HEALTH REPLY TO:
r4"rE ,.
Robert E. Blenkhorn, C.H.O.
Health Agent Code Enforcement Inspector
Cog
rf� + - t CERT O 87893
FEE: $ 25.00 ..
O
DATE: 11/10/93
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 2A Dewey Drive UNIT../. 8
OWNER/AGENT John Hairis
ADDRESS P.O. Box 6
CITY/TOWN Northboro, MA ZIP CODE 01532 24 HOUR PHONE 508-393-6387
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. I/
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
Cap
OFFICE USE ONLY
t
CER' .
'�"or.m,a rtNs DATE.
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
-nooERT4E,8L•ENKHORN• - ..., - 9 NORTH STREEZ .
HEALTH AGENT
508-741-1000 APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY'CODE, ;CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
I ,
PROPERTY LOCATED AT e21 1/ZWi3 D{<'.. ,f7R ai-),o UNIT #
OWNERAESSER 'MANAGERIAGENT x
a.
ADDRESS PO $may_ (� ADDRESS
CITY dV c7 2-riA P—Z I pc o k q--5 Z CITY
-'RESIDENCE .PHONE 63 Q7 BUSINESS PHONE (24 HRS.)
sIIsz� PHONE -'.<�� —34'3— 0444
TOTAL NUMBER OF ROOMS:l� i
L
%j jtom �,T1't+ ar d17eam �r'1
ROOM USE: I. J „f 2• EJ 3• _.)� 4. t ¢tea
5. 6. 7. 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEAL. =aE__fA_ NMPiAND ISSIIAMCE OF CERTIFICATE.
APPLICANTS SIGMA
INSPECTORS USE ONLY
DATE OF. INITIAL INSPECTION: DATE ,OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:��- f G f~ DATE FEE PAID:
TYPE OF UNIT: DWELLING 'X OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
a�.
4
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. RLENKHORN 9 NORTH STREET
HEALTH AGENT
508-741-1800 y�IJ�/�•e,/}-�- I'.'�
DATE: February 24, 1994
Joseph 0. & Maureen A. Panzner
3B Dewey Drive U5B
Salem MA 01970
PROPERTY LOCATED AT 3B: Dewey Drive UNIT 11 Building 117
DEAR SIRJMADAM:
It has come to our attention, that you are about to allow rental of a dwelling unit
y at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a Certificate of Fitness before any vacant dwelling unit is rented or
occupied:
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter III , Sections 127A and 127B,
of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, Section 2-334,
Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department upon issuance of Certificate.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the
Code Enforcement Division of the Salem Health Department .
Contact this department within 24 hours of receipt of' this notice. (508) 741- 1800
Monday thru Wednesday from 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY'"
Very ti(ilp'yours' . ... _.
FOR THE BOARD OF HEALTH REPLY TO:
,0E ,
Robert E. blenkhorn, C.H.O. PABLO VALDEZ
Health Agent Code Enforcement Inspector
CITY OF SALEM o� l ESSF$ `
HEALTH DEPARTMENT PM sPLE
NINE NORTH STREET o
SALEM, MASSACHUSETTS 01970 25 FES
FE25'946
MA H MEIER 4 12 15 4 * l
IS,=. Joseph 0. & Maureen A. Panzner +� I
is ktl ae�1ryV}�p 3B Dewey Drive U5B
Salem MA 01970
h440 9
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CITY
Op S1E4Lrylil " _{�a�—'j"W�r�—"3'.7:'.�":5's
T)' -FE
ENDER:
rte' .� ��T{'+.
� fi� 1', r.�. _r.P. ,� '_a: BIW I
UNABLE To FoRwAr�o
RETURt-# TO KENDE .
liki lilt Iiii iiiiii 1i rr tha d! !!'i " L11 I
CERT.# 79-95
3R FEE 25.00
0
DATE: 02/08/95
'd4
MIfB
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: 4B Dewey Drive UNIT #: Blda. 5
OWNER/AGENT: The DiBiase Corporation
ADDRESS: 10 Lookout Terrace
CITY/TOWN: Lvnnfield. MA ZIP CODE: 01940 24 HOUR PHONE: 224-4280
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r�1 OFFICE USE ONLY
CERT. #
DATE:
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
'HEALTH AGENT Tei:{508)741-1800
APPLICATION FOR CERTIFICATE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II , 105 CMR 410.000 "MINIMU2i
STANDARDS OF FITNESS FOR HUMAN HABITATION" .
PROPERTY LOCATED AT___j Fa,/U y DY UNIT I B
r
OWNER/LESSER 1-p sF MANAGER/AGENT
ADDRESS!! /.A ADDRESS
CITY t,Nry�7 iefD Lytj altidU CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS. )
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 . 2. 3. 4 .
5. 5.
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
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:: ,.,� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �1 � _DATE FEE PAID:
TYPE OF UNIT: DWELLING`/ OTHER
NOTES: 7�
CODE ENFORCEMENT INSPECTOR
• 3 ry
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: 01/30/95 Fax:(508)740-9705
The DiBiase Corporation
10 Lookout Terrace
Lynnfield, MA 01940
PROPERTY LOCATED AT 4B Dewey Drive UNIT # Bldg. 5
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each 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
qv-A�10;Ia�L
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.O 740-93
FEE: $ 25.00
DATE: 9116/93
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 4B Dewey Drive UNIT / --
OWNER/AGENT Jones 'Company
ADDRESS 57 Pickering Wharf
CITY/TOWN Salem, MA ZIP CODE 01970 24 HOUR PHONE 745-7935
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS RAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION",
SECTION 410.400 (B): DWELLING UNIT X AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES:
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
ROBERT E. BLENKHORN, C.H.O.
HEALTH AGENT CODE ENFORCEMENT INSFECTOlF
Cox
t OFFICE USE ONLY
4 � CERT. #
y
1V"""tvruc �
DATE:
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
(6 17) 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 LOCA Y8 D& UNI #
OWNER/LESSER av,2 1 & MANAGER/AGENT
ADDRESS ADDRESS '
CITY L/�j�iyf CITY
P
RESIDENCE PHONE ����Z Q BUSINESS PHONE (24 HRS.)
BUSINESS PHONE �—
TOTAL NUMBER OF ROOMS:
ROOM USE: I , j 2. lU 3. .4.
5. 6. 7. 8.
THERE IS
A TWENTY-FIVE (/21.001 DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM HEALTH D NT IIPON CO CE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE DATE l�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: j/� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:-DATE FEE PAID: (—
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
ONUIT
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
DiBiase Corporation
10 Lookout Terrace
Lynn£ield, MA 01940
PROPERTY LOCATED AT 5C Dewey Drive UNIT #
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
—_ 01—ustiv ` *hat ena�yY---The el�axtmentf 3ubl e rJl= _t-mss-hasmbiaaed�r 2exty_
1 _ owners or__it e_nan s' en ire u lityi is retroactive to em ate o£ ni ial -- _
`occupancy=iiF—cases in which cross-metering has been proven to exist.
qoR THE BOARD O HEALTH REPLY TO
anne
eScot , MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR