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DOW STREET
r , CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c e "40 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 W W W.SALEM.COM Kimberley Driscoll Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#255-07 DATE ISSUED: 5/31/2007 Property Located at: 10 Dow Street UNIT# 1 Owner/Agent: Fairmont Realty/William Dzierzek Address: P.O. Box 466 City/Town: Danvers, 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. FF RHE RDOE HEALTH ) JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Jun 30 04 09: 168 Joanne Scott Salem BOH 978 745 0343 P• 2 CITY OF SALEM, MASSACHIiSE"TTS ✓• BOARD OF H1:ALTH 120 WASHINGTON STREET, 4TN FLOOR SALEM, MA 01974 TEL. 978-741-1800 (SAX 978-745-0343 `�TANLCY tjg6v��, Jn. JOANNE SCOTT, MPH, RS, C.HO � MAYOR HEALTH AGENT APPLICATION FOR CERTIFICA i t_OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE.CHAPTER 11. 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR IIUMAN HABITATION". PROPERTY LOCATED AT — ._ �. _-UNIT# IS I HIS UNIT DESIGNATED AS RIGHT LM FRONT BACK PLEASE CIRCLE ONE OWN ERrLESS I-Rj.LJ1 `' QLLJ�j ,L4 4gai"AGEFVAGENT No Y.O. Box No P.O.Bax ADDRESSSS_J,jkLU,.Vy-rte CITYf~ GJJ11jf'3.`_ _— (�l}CITY_�G ,_aVeZ IC .� RESIDENCE PHONE�l ,'/� SlNES5 PHONE (24 HRS.) BUSINESS PHONE y2L-.�7Y' X2,66 TO-1 AL NUMBER OF ROOMS:,"- ROOM USE: 1 5.__ _6.._ _ 7 _� �8• _ THERE IS A TWENTY-FIVE{$25.00}DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE .tL-,,_;DATE_,I. t ].� 1N�ECT_,_SS U;_E ONLY /// pA1:E dF 1141 11&ItVSPeCTION S '-1? ?,GATE OF RF.IN8VFCTI0N _,_. ._� DATE OF ISSUANCE OF CERTIFICATE17'31.-0 7 , DATE FEE PAID:,!` - 3 1 �' TYPE OF UNIT- DWELLING . _OTHER .-_ CHECK #0. 3 d J CHECK DATE.5:_31_-6 7 NOTES:_. ..._.. .— CODE ENFORCEMENT INSPECTOR 9128/98 CITY OF SALEM, MASSACHUSETTS ' 3 BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR I IIvR3LRL TEL. (978) 741-1800 ,Y DRISCOLL FAX (978) 745-0343 1�11YOR Iralndin@saleln.c LARRY IL\NIDIN, IS,CI 10,(T-FS L-IVAM'I-1 A(;17N r CERTIFICATE OF FITNESS CERTIFICATE#230-11 DATE ISSUED: 7/19/2011 Property Located at: 10 Dow Street UNIT#2 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 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 /pA LARRY RAMDIN HEALTH AGENT CODE EfrORCEMENT INSPECTOR f I • �' CITY OF SALEM, MASSACHUSETTS I I Baipm of Hi;unt 120 L xsmNGToN STREET,4"'FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 11)JUNNlf&AIAM.COSI JANET DioNNE, ACTING HELI:rx AGr tsr 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 (T—DO LO UNIT# z IS TRIS UNIT DISIGNATFD ASIlt GAT LEFT FRONT OR B CR PLEASE CIRCLE ONE OWNER/LESSER FQ i G rm^4t2e a 1 l t! MANAGER/AGENT ;cat r rnon��2 ec, l 1+ea NO P.O.BOX -'PO OX4bb �+.0'laoX '41a ADDRESS 14G S"mvnPr S1 ADDRESS I`t(v Summer 5l• CITY, STATE,ZIP �1� nJeYs. iA- CITY,STATE ZIP —Pcanv¢rs . Mh Olct�� RESIDENCE PHONE17&'�8Z' I3 (Q6 +BUSINESS PHONE(24M) 7 y' Z0 (e BUSINESS PHONE-J3,8- 7 t{ -0356 TOTAL NUMBER OF ROOMS:_ I ROOM USE: L U�-K 2. l� 3.� t T 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 I AYABLE ATTTIME OF INSPECTION APPLICANT'SSIGNATUF an6V(4,4K- Inspectors use only Date em initial inspection- d (� Date of reinspection: Date of issuance of certificate: / Date fee paid: Type of unit: DwellinR--j,,&c Check# Check date: Notes: Code nforce entInspector City of Salem, Massachusetts NDS Board of Health Pu�_�'a— 120 Washington Street, 4th Floor, Salem, Prevent.Promote. Protect. blHealt MA 01970 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-16-425 DATE ISSUED: 10/28/2016 Property Located at: 10 DOW STREET UNIT#3 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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. //&1eyIrosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS e @ BOARD OF HEALTH 120 WASHINGTON STR.EEf,4n'FLOOR TEL. (978)741--MO - I<TMBERLFY DRISCOLL FAX(978)745-0343 MAYOR c xAMoiN&AJAW c:oM L>uRs RAniDIN, J-b; j iYI.Acr,Nr Application for Certificate of Fatness 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 �_- -�n U2 SJ UNir#� IS THIS LIMIT DISIGNA'1'FI)AS RIGHT LEFT FRONT OR RACY, PLEASE CIRCLE ONE OWNER/LESSER 15ri l f(YIDfTP2e a l ly MANAGER/AGENT�aPYA 1�ke Dvf( NO P.O.BOX 't--� 0K ('�9Z� ADDRESS 1 3 Lt1 �G' :p� `�i DRESS �V' r1FV"' rCS hE 4 CITY, STATE,ZT-Q r j/ , 1-3-CITY,STATE,ZIP l Al )d40 " C)1043 RESIDENCE PHONE 17 -( (n(v BUSINESSPHONE(24HRS) R7S" 7�7"D3S(r� BUSINESSPHONE ?77-7V5-035�1 TOTAL NUMBERS OF ROOMS: 3 ROOM USE: 1.0 C= 2 I fes- 4 5. 6 1 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 FEIS nYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ( Inspectors use only 5' Date on initial inspection:/42 6 Date of reinspection: Date of issuance of certificate:=1-0161201L Date fee paid: I OL26aaJz Type of unit: Dwelling V' Other Check#��2.6 _Check date: 10 1 Notes: *�AentVec;Ztor City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeetlth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-402 DATE ISSUED: 12/4/2015 Property Located at: 10 DOW STREET UNIT#4 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN $ Y CITY ®F SALE MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR - - TFs,:(978)74f-TWO -- - _- KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1az i�nulN(a�snia,na.c:onc LAR6'R,wD1N,RS/RMS,CI 10,(11-1-60 IIIc;\1:1'11/AGI+,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 IS Tms umT DLSIGNATED As RIGur LEFT FRONT oR BAm PI,EAsR ciRcLE ONE OWNERLESS � n MgANAGERIAGMNT . l 0-\ LC-,ate NO P.O.BOX C OK q-10 L!{gs "Y007-3 ADDRESS 15: L tr`, ,A o4-�.� �� AllDRES �� / eiTPy tl h� 1 CITY,STATE,ZT-Z)a Yn �Iva�S� —CfTY, STATE,ZI !P O. Y1c >JW RESIDENCE PHONE p9 (z(n(y BUSINESS PHONE(24HRS) R 7 S- 7g- i-C3 35(r BUSuvESSPHONE TOTAL NUMBER OF ROOMS: � ROOM USE: 1 � / .k k 3 (16/e 5. 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 FEES YABLE AT THE TIME OF INSPECTION _ APPLICANT'S SIGNATURE(-&M/AQ�� DATE�� J Inspectors use only Date on initial inspection:_12/01-/ID Z S Date of reinspection: Date of issuance of oertificate:1 2,1L3(2015- Date fee paid:12103ZaB f Type of unit: Dwelling ✓ Other Check#14616 p Check date:I) 0 -2aL - Notes: C rcement pector CITY OF SALEM, MASSACHUSETTS BO.1RD OF HE:A.LTH PublicHeal4h 120 WASHING`f'ON STREET,4."FLOOR TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL 1Tatndin@sa1cttl.coIn LARRY IL\MD7N,16/R1 SI IS,CLIC),CP-ISS MrkYOR Hviu;rn Aa_,N'r CERTIFICATE OF FITNESS CERTIFICATE#297-12 DATE ISSUED: 7/19/2012 Property Located at: 10 Dow Street UNIT# 5 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, 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 LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, NIASSACHUSEM jg -ll BOARD OF HEAt:fli 120 W<l.SIIINGTON STREET,4"'FLCX)R TEL.(978)741-1800 KIMBERLEY DRISCOLL F.us(978)745-0343 ALWOR I010NNli&IJEN1.CO4 JANFT DIONNE, AcT1NG HEAum AGHNT 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: $50.00 PROPERTY LOCATED AT IS THIS VNIT DISIGNATED AS RIGHT LEFT'FRONT ORBA�G7 PLEASE CIRCLE ONE OWNERILESSER I-'0.i r rt n} a► V MANAGER!AGENT FGii r mond -2 en (i+�i NO P.O.BOX 'P O o x'4 b co o scat `I(a b ADDRESS Iib S mmeY S1- ADDRESS I4io Sumrc►v_r S+ CITY, STATE,ZIP tel. nJ�Y� iAFL CITY,STATE ZIP 1�ar�yex`s , I�/4 Ol�t�� RESIDENCE PHONE 9 7®-b8 2- t 3 ie b BUSINESS PHONE(24HRS) Q 7$" ? S—0 A5—(& BUSINESS PHONE ii 78- 7 4f:'-0356 TOTAL NUMBER OF ROOMS: 1 (/ ROOM USE: I. L 2. �� 3. h( 1 4. 5. 6. —r 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 TIM F IS THE TIME OF INSPECTION , APPLICANT'S SIGNATURE l�/YYI (�. (A(/ 7a C_�o DATE�� r' " Inspectors use only Date on initial inspection: Date of reinspection n Date of issuance of certificate: 1-I 4' -L Date fee paid: Type of unit: Dwelling Other Check# ) N 4 Check date: Notes: e nforceroent Inspector 4 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR PI1b1>jCHth STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com salem.com LARK]'1L\Mll1N,RS/RCSIiS,C1 10,CP-7^5 MAYOR HErV:17i AE113N'C . CERTIFICATE OF FITNESS CERTIFICATE#295-13 DATE ISSUED: 8/21/2013 Property Located at: 10 Dow Street UNIT#6 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 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 LA"RAMDIN`��� HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 wAsHINGTON STREET,4"'FLOOR 01, 1 ) - _.- --._.------- ._- TEL. (978)741=18D0 I V KTMBERLEA'DRISCOLL FAX(978)745-0343 MAYOR �.2 iMUIN(alsnia%na.c:ont LAItRF'R,\MDIN,Its/IU{I III,,ca 10,c lP-ms _ III? ixiI.Am.,xv Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 'M NE*vfUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT I��O17 _UNIT#� ff IS THIS UNIT DLSIGNATED AS RIGHT LEFT FRONT OR BALI{ PLEASE CTBCLE oNE OWNERLESS r,-1 I e ry- bn rl-�e�3 l l �l MANAGER/AGWIT R� a� 1 k e-1 �I ADDRESS b>< Flo IO— ) a t_J ees RESI CITY,STATE,Zllrl n 0 Flo i e,3 CITY, STATE,ZIPf V,(Z 'Y Ic�I�jJ AA ()1043 RESIDENCE PHONE f y,?' LE;2 BUSINESS PHONE(?ABRs) R 7 F' 7g-`i-035(n p BUSINESS PHONE ! 79-711:5:-03 5(0 TOTAL NUMBER OF ROOMS: � ROOM USE: 1. k ' � 2.W 3. 1z 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY NECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FIST/YY1�I)QAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE _ ` . /-�0.O�1J� DATE Inspectors use only Date on initial inspection: �'Z) �� J Date of reinspection: Date o£issuance of certificate: �f'�Ll ' ' ) Date fee paid: �-_22`1l Type of unit: Dwelling_✓_Other Check# S 9) Check date: Ll` 17 Notes: Code Enforcement Inspector • t ¢ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR P11b�CHC81t11 Prevent.Promote.Protect. TEL. (978)741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdin ,salem.com LARRY xAhmtN,Rs/tu;Hs,cFio,cr-rs MAYOR CERTIFICATE OF FITNESS CERTIFICATE#39-13 DATE ISSUED: 1/30/2013 Property Located at: 10 Dow Street UNIT#7 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 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 LJEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN s s CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ��' I 120 WASHINGTON STREET,4n'FLOOR - -- -- - -- - -- TtL.(978)741-1800. ...._. — KTMBERLFY DRISCOLL FAX(978) 745-0343 MAYOR t Cni.:e€c;c}nt 7:,,�Rat'.t2Ant1>tN,ttti/Rri ts,r^t«7,c;i-i; I^I3?itt;i'I3 tlt;IiN'I' Application for Cer Icafe of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR410.000 'WIND" STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT OHO UNIT# IS THIS UNIT DISIGNATED AS RIGHT LUT FYtON'r OR BACK,PLEASE CIItCLE ONE' OWNERILESSER- f mOfrE Q 1� �i MANAGER]AGENT�ro NO P.O.BOX �Q 01C l� (L/ ) YIII�' s o/ ^y —p ADDRESS 15�T L t a 'r �n� t. I?RESS3� r �orl�v^ CITY,STATE,7l 1 YD �eVo�.,.,,, o- �_L37 CTI'Y, STATE,ZIP I�1� 4,nc! 4ee C)t o4 RESIDENCE PHONE_9-01662 (� n(o BUSINESS PHONE(24HRS) T 78- 74-5-0 35(o Busmss PHONE ?7 -7035� TOTAL NUMBER OF ROOMS 1:_ ROOM USE: 1. k(�- 2 L- 3 I 4. 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 11AYABLE AT THE TIME OF INSPECTION ) APPLICANT'S SIGNATURE-( �� 1��_,j�� D�-'--- BATE Inspectors use only Date on initial inspection: I ko 1 13 Date of reinspection: Date of issuance of certificate: Date fee paid: _ Type of unit: Dwelling_^„_^_Other Check# L _.Check dater Notes: • 0/ l Coh-L'(44cement Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, P11bliCH@81th MA 01970 Present.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-16-309 DATE ISSUED: 8/24/2016 Property Located at: 10 DOW STREET UNIT#8 Owner/Agent: Fairmont Realty Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 682-1366 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. 6JeffrBarosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, NLr1SSACHUSETTS BO.'.R.D OF HEALTH 120 Wz✓ SHINGTON STREET,4"'FLOOR Prevent.PromnU:.Pralaci. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin n salern.com LMRRY Rnnn)iN,xs/rUrs,ca io,c;P-i�s MAYOR Hri:\liT[I AGrSNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'z xx FEE: $50.00 PROPERTY LOCATED AT /U :�2© W UNIT# IS THIS UNIT DLSIGNATED AS RIGHT LEFT FRONT ORB_CK PLEASE CIRC E ONE NO I-1 A iC- 1 OWNER/LESSER g�j21(DIITZ�A LT�� MANAGER/AGEN _ NO P.O.BOX ADDRESS -b�'Uo �(a(a ADDRESS 15:1 I 1 P CITY, STATE,ZT--Qyi tgc_ ;I�tA r� CTTY, STATE,ZIP Sa(0(m ,9/�1Q _01 q 7/l� RESIDENCE PHONE / Z !o �—�� BUSINESS PHONE(24HRS) BUSINESS PHONE 97L— 7 Y'S- t�`�s TOTAL NUMBER OF ROOMS ROOM USE: 1 2 3 a 5. 6. 7. 8-y. . 9. 10. THERE IS A FIF`T'Y($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PkYABLE AT THE,TIME OF INSPECTION APPLICANT'S SIGNATURE ✓// DATEZZ ) /✓ Inspectors use only J Date on initial inspection: Date of reinspection: Date of issuance of certificate: ` �)�2©y� Date fee paid: .11 Type of unit: Dwelling V Other Check# 16 710 Check date: 0914VZD16 Notes: Co n cement ector �OND� 3 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PabliCHeaith MA 01970 Prn<nt.�opfl«. eeat«t. 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-17-293 DATE ISSUED: 9/7/2017 Property Located at: 11 DOW STREET UNIT#Basement Owner/Agent: Michael O'Brien Address: 56 Hampshire Street City/Town: Methuen, MA Zip Code: 01844 24 Hour Phone:(781) 572-6623 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. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 KIMBERLEY DRfSCOLL FAX(978) 745-0343 MAYOR LRAMDIN SALEM.00M LARRY RAMDIN,RS/REIIS,CIAO,CP-FS HUM.TFI 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 ZZ (LDhJ ,fl-. UNIT#_B#jm&-h4' IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER Xo9, G4 - 4V2)1,V� MANAGER/AGENT V4ra� NO P.O.BOX ADDRESS 56 ADDRESS lWykI e,,) ln4 • 0/00 CITY, STATE, ZIP CITY,STATE, Z.IP IhA- 01 P`1 J RESIDENCEPHONE 740/ BUSINESS PHONE(24HRS) f4WLC_ BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1OD 7� ROOMUSE: LW2J441'r' 2. LI"NI 3. ley�_+*n 4. 1rq� j 5. 6. 7. a8. 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- Inspectors use only Date on initial inspection: gI O'I I l-4- Date of reinspection: Date of issuance of certificate: Date fee paid: a 1 Type of unit: Dwelling Other Check#�-_Check date: Notes: l Code Enforcement Inspector a CITY OF SALEM, MASSACHUSETTS rF �w BOARD OI IIr v rrI 120 WASHIM�TON STRET,..T,4",FLUOR Tec. (978) 741-1800 1-UNIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN9SA1.EN1.00M LAtuo RAINIDLN,RS/RteHS,CHC),CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sust fined of whatever nature and description occasioned by my/out absence ring said inspectio X/� Ten nt/Lessee Owner/Lessor Address Address App I S01frnj Address on unit to be inspected ks- 7 Date Updated 5/23/11 �Nn City of Salem, Massachusetts r ` f Board of Health 120 Washington Street, 4th Floor, Salem, F�M.�Wu� V Prevent.Promot fth MA 01970 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-17.292 DATE ISSUED: 917/2017 Property Located at: 11 DOW STREET UNIT#1 Owner/Agent: Michael O'Brien Address: 56 Hampshire Street City/Town: Methuen, MA Zip Code: 01844 24 Hour Phone:(781) 572-6623 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. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL:CFI 120 WASHINGTON S'IR IiJs`I',41°FLOOR TEI_ (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 11 MAYOR LPAMDIN(Wsnr,uM.COM LARRY RAMDIN,RS/REI-IS,CHO,CP-FS _ HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT & 01.1k rl- UNIT#—Z-- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT ! Y/4` ADDRESS5 S6 S J�i2s � "'F,_�/� (� ADDRESS CTTY, STATE,ZIP //r ' 4"/J MA CITY, STATE,ZIP 1' RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMS:ROOM USE: 1.LI v., 2. 3. d 4. 6 -d 5. to Jh 6. 3a-t L 7. It L JAL. 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 �� DATET� I 1 Inspectors use only Date on initial inspection: 919--TW {- Date of reinspection- 0 Date of issuance of certificate: _qWrDate fee paid: CJ— Type of unit: Dwelling Other Check o D Check date: Notes: Code Enforcement Inspector SND City of Salem, Massachusetts rMilk AV S'` Board of Health U 120 Washington Street, 4th Floor, Salem, PubIliCHestth MA 01970 Pr enf.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-17.291 DATE ISSUED: 917/2017 Property Located at: 11 DOW STREET UNIT#21- Owner/Agent: 2LOwner/Agent: Michael O'Brien Address: 56 Hampshire Street City/Town: Methuen, MA Zip Code: 01844 24 Hour Phone:(781) 572-6623 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 lawfor occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS Y I s BOA,RO OF HEAL:1'H 120 WASHINGTON STR.F.L;T,4"'FLOOR Tiu... (978) 741-1800 KIMBERLEY DRISCOLL Fnx(978) 745-0343 MAYOR LRAMDIN@SALEM.COM LARRY RAMDIN,RS/RBIIS,CIAO,CP-FS HE,Auni AGF.NI' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / FEE: $50.00 PROPERTY LOCATED AT&per/ ,J y - UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER /;I;/�C /MM I e,,, MANAGER/AGENT , NO P.O.BOX ' ADDRESS r6 x/7-1 M s J ADDRESS CITY, STATE,ZIP 0.IP.tIf rl'Y, STATE,ZIP RESIDENCE PHONE 7P1 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 1L.,>!t 4. nA to 5. 17ti t. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE__��7 nn n I Inspectors use only Date on initial inspection: o I d l I Date of reinspection: II Date of issuance of certificate: Date fee paid: 6 Type of unit: Dwelling Other Check# q 5 Check date: ( � Notes: �1 � Code Enforcement Inspector City of Salem, Massachusetts f � i ' Board of Health 120 Washington Street, 4th Floor, Salem,0PU �Q �osG MA 01970 P" Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@satem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-143 DATE ISSUED: 5112/2017 Property Located at: 11 DOW STREET UNIT#211 Owner/Agent: Michael O'Brien Address: 56 Hampshire Street City/Town: Methuen, MA Zip Code: 01844 24 Hour Phone:(781) 572-6623 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 Hoard 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. B y Larry Ramdin, MPH, REHS, CHO SANITARIW HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF,HF.AINI-I 120 VUASHING'.i'QN S1'RLE1',4"FLOOR TEL. (978) 741-1800 KINIBERL13Y DRISCOLL FAX(978) 745-0343 MAYOR LRAan3IN@SA eM.a>.H LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" L FEE: $50.00 PROPERTY LOCATED AT UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER // blh-' L LC MANAGER/AGENT NO P.O.BOX ADDRESS Sc Jt- ADDRESS l-k " CITY, STATE,ZIP )144 Glguy CITY, STATE,ZIP RESIDENCE PHONE )U01 -Q)--0'3r BUSINESS PHONE(24HRS) y4" BUSINESS PHONE +'"" TOTAL NUMBER OF ROOMS: y ROOM USE: 1. Li�wyt + 2. MA-?un-3. ki 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 Inspectors use only Date on initial inspection: ©�. Oq 2DU Date of reinspection:"1�— Date of issuance of certificate:=12to Date fee paid:06/09/20 Type ofnit: Dwelling V/ Other Check# )QCheck dater 2 0 Notes: 4 2 Gm v ^A r,'Inyciment Ins for 6 I KIMBERLEY DRISCOLL MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"` FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 10 ltamdin(a,salern.com PtibltCHeelth Prevent.Promote.Protect. LARRY RAML)IN,RS/REHS,CHO,CP-FS HEAurH AGENT Notes: Code Enforcement 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 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. — Q Tenant/Ltel Owner/Lessor l CG DI City of Salem, Massachusetts r �.a Board of Health M Np�o P 120 Washington Street, 4th Floor, Salem, PabliCHea Ith MA 01970 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-17-290 DATE ISSUED: 9/7/2017 Property Located at: 11 DOW STREET UNIT#3 Owner/Agent: Michael O'Brien Address: 56 Hampshire Street City/Town: Methuen, MA Zip Code: 01844 24 Hour Phone:(781) 572-6623 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. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CrrY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON SiRE1-1',4"'FLOOR TEL.(978)741-1800 KIM ERLEY DRISCOI:L FAX(978) 745-0343 MAYOR LRAMD1N(WSALF.M.C6M LARRY RAMDIN,RS/RF.HS,CHO,CP-FS HF.ACPH 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" /� . I FEE: $50.00 ? PROPERTY LOCATED AT // V f 7'—' UNIT# J IS THIS UNIT'DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE,ONE / OWNER/LESSER/111 AR 6' i e,) MANAGER/AGENT NO P.O.BOX ADDRESS rSG f/9+�PJ,1, I ADDRESS CITY, STATE,ZIP /)* ✓ 07 CITY,STATE,ZIP RESIDENCE PHONE 7�C r�S a ` ? BUSINESS PHONE(24HRS) BUSINESS PHONE d ' TOTAL NUMBER OF ROOMS: ROOM USE: 1.*/],,,l 2. 2,2eq 3. 6"A 4.)_14,6� 5. /kJ_ 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= YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE/ DATE � �&?'� Inspectors use only Date on initial inspection: �� Date of reinspection: Date of issuance of certificate: Date fee paid: 11 Type of unit: Dwelling Other Check# Check date: `� Notes: Code Enforcement Inspector Le+9fc he�Ia _.etwi•t Ixs+scsac r+"r ',x -rtacilatuat+,i+ ,C+.ji"}PIj rqL�di, LdlSt`F'ti HON1 k f },z`4 i'I I;4, 1.1 f`V.:+ti':; _. . 1141 SoIJI'll BROADWAY MA Owe,I1.d€90017 wm;ti 6N'I-4 f t 1 I`fvajcxi +�' SU 162"141I tt �i'v„'z�a'R1CWi; Iil tLi3sf fif«s•. t, t vis7L'4i i'c1�lfrniGr`?`ti�}lt�"- I,,4IC-kAP! tYRIOFN r t�UStlf,IIfY} d§at�lrc�i�' SAI I:%I,lar.l Mli-10 VSA Otte, ims Prodoo Cod Prat!Prim+v7lwuit!y "I'niu!I'rei° Ff"le,Size Yk•<+ •stxi+ a { ktl $1. rrtifu,rl++exr I-Iwr€I V ik w wn31 xe rkt£ Ita: '_�... .....a<.w.......�.. _ .. �.. "" p`ut3 + Ip W, Ml 41A Sri 3ht rv.4a : Rh.lur f}. mn.� a ;1 Ii Fr!£tCt"�aP7dCrit� # t I a. ( pie ir+ .fi.Gi�l.erlrseer � i 't +aarej +:�e.t ri •kruf ii [ rri! I t � `t,t Ir(�alyft�ti#Pk iw .A';,YndatM3 I f Ikuat it Otlol Wholf" [ CyhttangTypr 1€,Krv� Sz lfc aC N,`n(i1r i1 ;It [ 1 i•d ' ,X, I'!!Y tlr.riaog}1++�b. •txtr it,' 4}-'rei,isfa7r� I�^a(ta�4 ?c'f3Pt. �. t rLcY.'t vgxt I.}arat 4 daecd I}sr t€axacd fi}�r- A Y 11 emkered G w ,-No C.ale. N•,; E 4 I•J.So'lr i r:a:E.arxa-F, "; a a i i.,h�<,+}I} set I1st[t-tli `tat 1+'�'7a•c2�t 3,.azo I'. � t r }+pt tn:Erc x No I 8 i� I I)I•t 1 .�J/ ��G. .l� �ti i%NII /.�� .• r �,� ���� '�ll..�lt� a �u .1,f '�J '+ � �. ale ]' - ►��%, I/ rc' Il . ' ' _ c :►! . kt_ . �r,�� ��1� / 1� � �' � �] ! 1 ice.,' 1,� it r ,�' / .� 1Yi�, ii�rii'�>/Jt�� r%yr, r/ / tl allIl •�b�i1uq ' 1YtG 1 "OWN%f� N •u r � 'I. io � - 01"ll, PAR r - �i . �w�� � .,. tR .r r .� . I/• ►j Ian, � ; PRO Mff 1, 111 J1 �.! 1��: VW ' �A =., ` CITY OF SALEM, MASSACH USE-ITS BOARD OF Hr ALFH 120WAS11INGTONSIRFur,4 Fr,O<iR TFL. (978) 741-1800 ICIME3F,,:RLFY DRISCOLL FAX (978) 745-0343 MAYOR lramchnna salem corn LARRY ILA N1UIN,RS/HVI IS,Cl IO,CP-I�S HF;;AI;1'll AGI:N'I' CERTIFICATE OF FITNESS CERTIFICATE #009-12 DATE ISSUED: 1/5/2012 Property Located at: 12 Dow Street UNIT# 1 Owner/Agent: Fairmont Realty Trust/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-774-4260 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 CqPE ENFOR(XVEW INSPECTOR f. • CITY OF SALEM, MASSACHUSETTS Bo ARD OF HF-Arm 120 WaSFIINGTON STREEFT,4°1 FL0()R TEL.(978)741-1800 KIMI3ERLEY DRISCOLL rel(978)745-0343 KkYOR IDI0NNIS&:11x'N1.CONI JANFT 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 PROPERTY LOCATED AT 7/ w 5k UNIT#� IS THIS UNIT DiSIGNATED AS RIGHT LEFT FRONT OR BAM PLEASE CIRCLE ONE _ -i o vv% AndeVscn OWNER/LESSER F 0.i frnel t%4 l�C n 1 V MANAGER!AGENT� 1 NO P.O.BOX `P O 15a X''3 to b G-16o+x `'FIa 4 ADDRESS 1,Ib -5 .vnff%PY ADDRESS I`tto Sumnnar S� CITY,STATE,ZIP �;�2.nJer� i+1A CITY,STATE,ZIP RESIDENCE PHONE 9 78'(O$2- 13!Q b BUSINESS PHONE(24HRS) Q 7 S- Z S � BUSINESS PHONE i 7B- 7 4 JK-0356 TOTAL NUMBER OF ROOMS: I 3 ROOM USE: 1 6 i 2 L 1 z 3. I JZ 4. 5. 6. 7. 8. 9. 10. TI3ERE IS A FIFTY($50)DOLLAR FEE PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F IS ABLE AT THE7 OF INSPECTION APPLICANT'S SIGNATURE x}10 -- DATE l / / ( _ r Inneetors use only T`J / Date on initial inspection: � I 51 Tal Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_Check date: Notes: C� c�&9 e o cement Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV 120 WASHINGTON STREET 4"{FLOOR Pab11CH@e Ith > Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Itamditi@salem.com LARRY RANMIN,RS/RI;'HS,CHO,CP-FS MAYOR HFAi-TH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 138-13 DATE ISSUED: 4/19/2013 Property Located at: 12 Dow Street UNIT#2 Owner/Agent: Fairmont Realty/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 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 LAR MDIN HEALTH AGENT SANITARIA P CITY OF SALEM, MIASSACHUSEITS cr BOARD OF,T-IFAI.`.['H 120 W&SHINGTON'ST'REEI',4"'FLOOR —_.- --_-T)EL.-(978)7414800 _.__.___ -.__ Iwo _ ICIMBERLEY DRISSCOLL FAX(978) 745-0343 MAYOR t ta�si�� a iia+.t .c:c>nt L,�RaFR,�ntu�N,izsJ2iti rs,ci u7,c;r-irs f1E?. xiiAGvwr l Application for Certificate of Phase IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER.11, 105 CMR A10.000 ,MINWjM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $50.00 PROPERTY LOCATED AT 0 ) -UNIT# > IS'd'H&S[]IVY'I'DISIGNATEID AS RdGHT I EIS I'FRONT OR BA 'PI`A�".ASSE CIRCLE ONE OWNERlLESSEt3. �- s tYtp k�� l� ti/ MANAGER/AGENT t�� c�R `�1 NO P.O.BOX ��CJ L�01C q 10-.—.r> "I t-p ADDRESS �,rrrs `�S ADD1tFSS_ 5 � �!it1 " t t hr i CITY,STATE1:1A. Dom ,7 _� V.� , CITY, STATE,ZIP p6 d2l (f l 40 RESIDENCE PHONE91E- -( b �(y BUSINESS PHONE(24M) BUSINESS PHONE TOTAI,NUMBER OF ROOMS: ROOM USE: 1 2. 3.K I 4. 5. -- b.�7. 8. 9. l0. THERE IS A FIF 1Y($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH ITM FEE S DAYABLE A/T;TIM T� OF INSPECTION APPLICANT'S SIGNATURE_ DATE I Inspectors use only Date on initial inspection. 1/�/� — Date of reinspection: Date of issuance of certificate: Date fee paid: / Type of unit: Dwelling Other Check# 21 Qheck date: �/_/ Notes:_,. 4C6 (t&uaent Inspector ��,� 5zUyryCFkrL�' TRANSMISSION VERIFICATION REPORT TIME 04/23/2013 22:03 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 04/23 22: 03 FAX NO./NAME 919785311012 DURATION 00:00: 36 PAGE(S) 02 RESULT OK MODE STANDARD ECM ' CITY OF SAL M, MASSACHUSETTS 130ARDOF Hilu:rr1 120 WASI11NGTO N STt mE r,4""FI,Oolt 17n- O78) 741-1800 KIM13i;RI.&�'1)RISCt>L.1, 1 1 (x)78) 745-0343 N AYOR at d n ein.cam LARRY RANIDIN,IIS/RJU i3,Q rc�,(T-V's 1-1!'.,Ua'IIAGt?NT Facsimile Transmittal Fax# 16) RE: ��• i j �'/ Date I Page(s): including this cover# Message: Board of Health Mews Your Information {OFFICE HOUR,"'): 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 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4u1 FLOOR I��CH�th f Prevent.Promote.Protect. 11,71. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdin a,salem.com LAItIdY RAMDIN,ItS/RI3FIS,CI-IO,CY-1''5 MAYOR HTF/\ rl l AG L!N'r CERTIFICATE OF FITNESS CERTIFICATE#294-13 DATE ISSUED: 8/21/2013 Property Located at: 12 Dow Street UNIT#3 Owner/Agent: Fairmont Realty Trust/Pam Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 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 BO RD OF EALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEK MASSACHUSETTS BOARD OF HEALTH —�3 120 WASHINGTON STREET,4"'FLOOR --. — - — - -- --- - TM . (978)741-IS00 KTMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR L MMIN&SAWAt.COM LARR`•R,\ndDIN,its/Itrt is,ca tc>,c;t>-rs Application f®r Cel° eate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NDNIl"STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT -'�� � UNIT# IS TffiS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERLESSiE ty MpANAGER/AGENT�+�L}1�-ry R et� NO P.O.BOX 'C ` ��D i a 1���5 ¢%i ®�pZ ADDRESS I S7 L n�'c, e� fp DIMn'/ �-�► CrIY,STATE,ZT-Qnt 17 Veje5, �% O I q 7 3 CITY, STATE,ZIP I V JL).V, C)I 413 RESIDENCEPHONE pqy&-�-� BUSINESS PHONE(24HRS) L77(5- 7(k) -o, BUSINESS PHONE TOTAL NUMBER, l O,F ROOMS: ROOM USE: 1 k I I -,L�K— 3 � 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CrTY OF SALEM BOARD OF HEALTH THIS FYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURELC�:�IILL�P _ DATE 2� Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: F�� Type of unit: Dwelling-L�'/ Othex Check# S A Check date: Notes: AAA--\ ode gnforcement Inspector h CITY OF SALEM, MASSACHUSETTS BOAR1) OF HEALTH 120 WASHINGTON STRFFT 4"'FLOOR P,It, vm.rn,.rromme.r.arem. TFL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin gsalem.com LARRY R;AMllIN,RS/RGIIS,CI f0,(a l;S MAYOR H u,\is rrr A(;I4NT CERTIFICATE OF FITNESS CERTIFICATE#215-14 DATE ISSUED:6/27/2014 Property Located at: 12 Dow Street UNIT#4 Owner/Agent: Fairmont Realty/Pamela Anderson Address: P.O. Box 466 City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 978-745-0356 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 I LAP64RAMIDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS �I BcmRD OF HEALTH 120 WASHINGTON STREET 41V1 FLOOR PubflcHealth 4revenl.l'romare.Prulcet. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iratndin@salem.com MAYOR LIvcR7�R:vbii)IN,IIs/ItErIS,CI 10,CT-FS Hr?AI„rt-I A(31-'.NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION? FEE: $50.00 PROPERTY LOCATED AT UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT O BACK $NAMCIRCLEONE OWNER/LESSERMANAGR/ G NO P.O.BOX // ADDRESS— ?6 C `f Gj ( ADDRESS i.'T-7 l n_ / CITY, STATE,Z1PPr� - —N'tf� �Jag CITY, STATE,ZIP S_ lI>yYl RESIDENCE PHONE �1g��D- _ -- /BUSINESS PHONE(24HRS)T '�— 7/z —D BUSINESS PHONE — ��,'i 4� TOTAL NUMBER OF ROOMS:/ _ ROOM USE: 1. 2. 3. ,6/ 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 FE IE YABLE AT THE TIME OF INSPECTION. APPLICANT'S SIGNATURE �/1/!/`l [�Lt ��Q�[ DATE 7 r p r Inspectors use only Date on initial inspection: ala 1 I ( Date of reinspection: Date of issuance of certificate: Date fee paid: _ Type of unit: Dwelling Other Check# / l Check date: Notes: Cod cement Inspector OONDIi� City of Salem, Massachusetts IV W Board of Health 4 120 Washington Street, 4th Floor, Salem, PrPublicHealth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-325 DATE ISSUED: 10/6/2015 Property Located at: 15 DOW STREET UNIT#2 Owner/Agent: Pointview Realty Trust Address: 47 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 337-3489 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,--A4� I Larry Ramdin, MPH, REHS, CHO SANT RIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,47"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR I RAMpIN SALEM COM LARRY RAMDIN,RS/Rl;"S,010,CPA S (.0 HFAL,ju AG1 NT 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. y00 / � , PROPERTY LOCATED AT 1 5 'D O C� �� �aS 1(V 1 U tyl UNIT# Is THIS UNIT DISIGNATFA tAS RIGHT LEFr OR BACK.PLEASE CIRCLE ONE OWNEIULESSER O\Y\k t C ti) \ �LUS"AGER/AGENT NO P.O.BOX ADDRESS _I � `t� S r ADDRESSSS�ei� CITY, STATE,ZIP 5(1 Q..uY\ �'CtiI O�`1�(1 CITY,STATE,ZIP 5/}r RESIDENCE PHONE "1 t S-, - 3 (/D tC�BUSINESS PHONE(24HRS} BUSINESS PHONE Q.I V-3 3 t -S`t'a 1 TOTAL NUMBER OF ROOMS: r> ROOM USE: 1 L-\\I. r\S 2 fD kv",r° 3. 1���L6n 4. ZYa_5.-Zj2 U 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM PARD O�FTHEAL N SSE EES AYABLE AT� 'TYNE OF INSPECTION ( 1 ���io DATE Inspectors use only Date on initial inspection: . 010 6l2 I-25- Date of reinspection: Date of issuance of certificate�Q�Q 2 tJ1S� p,ry�� Date fee paid:JDJ06/2t�zs Type of unit: Dwelling_�Other(' f JCheek#_Qt '__1i_y�Check date: :WZQV2-D 1S Notes:[ y"^. TP1 tlE1 ''tire Tor bo-T fDam aNd. F.( I I I 'm P Pakke r .4 000r" O+ "d�S'n `11 Uyel _ �'wr�01Q arAov- �, _,� thn fYe DaTllrn^m 4-U o ement Ins ;tor DONDlgI� City of Salem, Massachusetts * � 6 q Board of Health 120 Washington Street, 4th Floor, Salem, PablicHealth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-247 DATE ISSUED: 8/25/2015 Property Located at: 17 DOW STREET UNIT#1A Owner/Agent: Jose Polanco Address: 17 Dow Street#2 CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone:(617) 320-1284 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT IAN • CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON STREET,4"'FLLX?R TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(97.8)745-0343 WYOR t`LRAM(D�IN&A1.�M.CQM LARRY RAMDIN,RS/REI-IS,CHO,(:P-I;5 HBAJAI I AGENT Y 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 f Q V S UNIT#__[_� �- IS THIS U701 " CO DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER l ►bS f MANAGER/AGENT NO P.O.BOX ADDRESS W S r ADDRESS CITY, STATE,ZIP S �G P "7 h O ?L CITY,STATE,ZIP RESIDENCE PHONE 6 d j Z 0 { BUSINESS PHONE{241ARS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: y--� ROOMUSE: I164( 41 2.1A/eo#-1 3.1d,100r1 4.tit 'NSG+#sem 5. & 7. 8. 9. 10. THERE IS A FIFTY{$50}DOLL E, ABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE P YABL AT/T E OF SPECTION APPLICANT'S SIGNATURE DATE Z. / Inspectors use only Date on initial inspection:0` 12Y/2 Dij Date of reinspection: Date of issuance of certificate:OX6L 12-015 Date fee paid:Pft2 5- Type of unit: Dwelling_Z_Other Check# G,Z � 2Check date: QY12 Wj01. �A + Notes: °n J.Pfje4 IV'g.�npfli 6c 6A- hole 1v one Of iI, {c win p_cifllS of cement Spector O(INDI 4 " ` f � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 07/06/2000 Fax.(978)740-9705 Anita Labrecque 14 Arron Drive Topsfield, MA 01983 PROPERTY LOCATED AT 17 Dow Street UNIT # 1F 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,titied "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit . Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant . The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARDHEA TH REPLY TO ooannef�Sccoott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR F S r� CITY OF SALEM, MASSACHUSETTS F BOARD OF HEALTH i, 120 WASHINGTON STREET, 4TH FLOOR p 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#411-05 DATE ISSUED: 6/30/05 Property Located at: 17 Dow Street UNIT#3 Owner/Agent: Jose Palanco Address: 5 Warner Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-320-1284 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 r / i a� JOANNA SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR s 4 CITY OF SALEM, MASSACHUSETTS ,�, BOARD OF HEALTH ~ - • • 120 WASHINGTO14 STREET, 4TH FLOOR i " SALEM, MA 01970 TEL. 970-741-1800 FAX 978-745-0343 (1 STANLEY USOVICZ, JR, JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT A 7 UO 4/ S / GUNI T 4 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSEROSF V bL lfA/C MANAGER AGENT "— - No P.O. Box No P.O. Box ADDRESS_<4,4�i�l� �_T ADDRESS CETY LPgt 6UI�, /7cCiTY RESIDENCE PHONE----BUSINESS PHONE (24 HRS.) �;/ j20-12-9'9 BUSINESS PHONE TOTAL NUMBER OF ROOMS: C? ROOM USE: THERE IS A TWENTY-FIVE5.00) DOLLAR FEE, YABLE BY CHECK OR MONEY ORDER. TO THE CITY OF ALEM HEALTH DEPARTM NT THIS FEE IS PAYABLE AT 1 HE TIME OF INSPECTION. r-_ APPLICANTS SIGNAIU E _ ` " _ DATE_ z S' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _ -� 3 ,DATE OF REINSPECTION`- DATE OF ISSUANCE OF CERTIFICAT{= 'a 06DATE FEL- PAID TYPE OF UNIT DWELLI t_-6 THEIR CHECK V CHECK DATE NOTES,. CODE ENFORCEMENT INSPECTOR 9/28/98 CITr OF SALEM, MASSACHUSETTS BOARD OF HEALTH !" ^ - 1 z 7 • i 120 WASHINGTON STREET, 4TH FLOOR rJ SALEM, MA 01970 TEL. 978-741-1806 !' FAX 978-745-0343 ' STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT !,L\ 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 J�l iUdw j L ___UNIT# j IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-t09 PbL�f.UC O MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS f Dav 57 ----ADDRESS--- CITY __ADDRESS _CITY_ ,q 4 (`ley O _CITY`_ --. RESIDENCE PHON 6/ 3 2° —1 ?-ggBUSINESS PHONE (24 HRS.)J�L12- Sg BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. C���w 2/ liiysoa y 3.,L dna uz 4.jF-PAov t_ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALT.H-DE-P MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 11 APPLICANTS SIGNATURE( jo --DATE ,�'40 6 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ' -a 3., Q., .__._DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE -�L J_ 3__,4 DATE FEE PAID:_ TYPE OF UNIT: DWELLING'1/ OTHER- CHECK M r b CHECK DATE � r NOTES: _� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FA1(978) 745-0343 MAYOR DG FENBAUM&ALENLCOM DAVID GREENBAUM A<.1'INC,, Hlre\1;YI{AGI9.N'I' CERTIFICATE OF FITNESS CERTIFICATE# 109-10 DATE ISSUED: 3/11/2010 Property Located at: 26 Dow Street UNIT#2 Owner/Agent: Rosa Matias Address: 26 Dow 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 ,max. 1 1 �- DAVID GREENBAUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR C CITY OF SALEM, MASSACHUSETTS t�I" • ' BOARD OF HEALTH 120 WASHINGTON STREET,4"i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYORllea�r a�3ntmiCn�s �a;4t.CO;M 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 IS THIS UNIT DISIGNATED AS RIGHT LEFT'FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER leo 56L. ci-,5 MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS ! ADDRESS CH Y, STATE, ZIP 5 L,� � of 9?ID CITY, STATE,ZIP RESIDENCE PHONE l � Gs G�BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 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 HEALTH THIS FEE ISP AYABLE/AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE: ,L DATE // Inspectors use only Date on initial inspection: kU Date of reinspection: Date of issuance of certificate:_ /o Date fee paid:_ Type of unit: Dwelling,o Other Check#J_,1100 _Check date: r I I �d Notes: Ur/ /1 ho} InIQ (/_. 0(A e� /� 14 6( sGr"AS Code E arce ent Inspector CITY OF SALEM, MASSACHUSETTS + e BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREE,NBAUM(@SALE!M.COM DAVID GREENBAUM Ac'rlNG HEAI�PH.AGENT' Facsimile Transmittal To: Pi�G IIOr CA —4 -.yew, Loosrj Fax # :zy'4 % `1 RE: o�lP (.l� f CrSwt�r O 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 HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier- Joanne Scott Salem,BOH 978 745 0343 Mar 23 201O 10a38am East Fax Date Time Twe Identification Duration Pages-Result Mar 23 10:38am Sent 919787449614 0:35 2 OK Result: OK —black and white fax- .r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH m i :9 120 WASHINGTON STREET, 4TH FLOOR a �jPo' SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL .1SCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#269-08 DATE ISSUED: 6/10/2008 Property Located at: 26 Dow Street UNIT#3 Owner/Agent: Rosa Matias Address: 26 Dow Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-6389 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE EN ORCEME T INSPECTOR _ a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a • • 120 WASHINGTON STREET, 4TH FLOOR �/ �� SALEM, MA 01970 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 II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT� 0t,6/ S7� Sa ILa4f,( UNIT#,3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Pf)'50"' d MANAGERIAGENT No P.O. Box No P.O. Box ADDREE�S^^S Q/,_ �C J� ADDRESS J 1 CITY Q-1-e�1 CITY RESIDENCE PHONE BUSINESS PHONE/(24 HRS.) BUSINESS PHONE 1?� TOTAL NUMBER OF ROOMS: ROOM USE: 1._ 2. 61Z, 3. 56. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _.DATE OF REINSPECTION-6-1),eFC DATE OF ISSUANCE OF CE RTI FICATE:�,1) DATE FEE PAID: G 16 TYPE OF UNIT: DWELLING ✓OTHERCHECK # 94Yk3°p3f CHECK DATE (o c3>< I NOTES: C DE ENFO EMENT INSPECTOR 9/28/98 J L � • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4n,FLOOR PllblicHealth STREET, Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL tramdinna,salem.com LARRY RAMDIN,RS/1213rIS,CI-10,CP-FS MAYOR HFAr:rH A(;ENT CERTIFICATE OF FITNESS CERTIFICATE#124-13 DATE ISSUED: 3/5/2013 Property Located at: 40-42 Dow Street UNIT# 1 Owner/Agent: Wanda Santana Address: 40-42 Dow Street 2nd floor City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-882-5513 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 Ile 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 OARD F HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'm FLOOR P b �om� P.W.t. 1 TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEYDRISCOLL Iramdja ,salem.com MAYOR - . . _ LARRY RAMDIN,RS/RENS,CHO,CP-CS 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 ID-LI2- YJ W J UNIT# 1 F l- IS THIS U DISIGNATED AS RIGHT LEFT FRONT OR RAM PLEASE CIRCLE ONE OWNER/LESSER�� n' .0,( MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS CrIY,STATE,ZIP p Y1�.. p CITY, STATE,ZIP "4T 01 RESIDENCE PHO 1�-lS�p BUSINESS PHONE(241IRS) TC)Qb�a-s� 3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: C� ROOM USE: 6:5�Dwj—L 7. 8. 9. X10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE B CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE YAB TIME OF SPECTTON APPLICANT'S SIGNATURE DATE J�S� Inspecto use only Date on initial inspection: iUI S�)3 Date of reinspection: 13 --r Date of issuance of certificate: Date fee paid: Type ofymt: Dwelling Other Check# Check date: / Notes: �r u, (Xbf f r W Ik dow ire hot c,. r is ar) �r� {C'_a��Of 6asewvrt S a C7� C de ementInspector fC¢tl� ttn5tc2(f 5111b /ctX r'e�tOr Ih 6cict V1Cdi ` vg�eo '$ CERT.# 340-01 FEE $25.00 DATE: 07/20/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 Fax: (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 42 Dow Street UNIT #: 2 Left OWNER/AGENT: Carmen Calderon ADDRESS: 40 Dow Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1646 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 ��JQ 14ay c JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a • 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax: (978)-745-0343 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT D �*Qer� UNIT#-&2 IS THIS UNIT DESIGNATED AS RIGHT�LEFT FRON BACK PLEASE CIRCLE ONE OWNER/LESSER (;AO A4g) MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ) C�, ADDRESS CITY C7 CITY RESIDENCE PHONE °CY BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: mom ROOM USE: 1.;2&11- 2. 9,93L,,. 4. 4. =a 5.&_6. 7. 8. THERE IS A TWENTY-FIV ($25.0 DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE — DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7 o —o ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:7-d" —01 DATE FEE PAID: TYPE OF UNIT`. DWELLING" THER_ CHECK# __CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 M t CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 7 JOANNE SCOTT,MPH,RS,CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 Fax:(978)-745-0343 RELEASE In accordance with Massachusetts General Laws Chapter Ill ; Code of Massachusetts Regulations 410.000 at. 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 author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. iVLESSEE OWNER/LESS -- ss �� ��ADDREss a �� t � —_._— --- DRESS OF IINI T l BE INSPECTED ll, t E CITY OF SALEM, .i1 ASSACHUSFTTS BOARD OF FIR L'al I 120 WASHINGTON STRI r r 4'" FLOUR Pub c�iealth Prrarne. rrnin o.P,mn A. Tui:,.(978)741-18001"A-y(978)745-0343 KIMBERLEY I)RISC011:. hainA,a saLn.cotn LARRY R2A Nll 7iN,RS jR I;S-IS,CI 1('),t:P-!+, %\YOR Eil� :ciiAGr;Nr CERTIFICATE OF FITNESS CERTIFICATE#88-12 DATE ISSUED: 2/27/2012 Property Located at: 43 Dow Street UNIT# 1 Owner/Agent: Douglas Hyde Address: P.O. Box 285 City/Town: Lynn, MA Zip Code: 01905 24 Hour Phone: 978-599-5098 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 , r HEALTH AGENT CODE EN*ORCEM'—v--NT INSPECTOR �I • CITY OF SALEM, MASSACHUSETTS BOARD OF Hr--UTH 120 WASHINGTON STREET,41''FLOOR TGii,. (978) 741-1800 1<1NMERL EY DRISCOLL FAx (978) 745-0343 MAYOR enrolulN Tae nL.tsu.c;oror LAR10' R\iAIUIN,W1;/1W1IS,CI IO,(T-11S - Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT UNIT# IS THIS U14IT DISIG TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER W MANAGER/AGENT NO P.O. BOX ADDRESS -�� C ADDRESS CITY, STATE, ZIP V � CITY, STATE, ZIP RESIDENCE PHONE2& 1` �7p& �OS( USINESSPHONE (24HRS) BUSINESS PHONE (. L -/ TOTAL NUMBER OF ROOMS:- 7 ROOM USE: 1. 2. &D 3. 'IBJ 4. o 5. 6. 7. Am 8. 9. 0 THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK !�f Y ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEnABLETHE TIME ON 7 APPLICANT'S SIGNATURE DATE .'R>—I L I ectors useonl Date on initial inspection: 2- 7- )Z Date of reinspection: Date of issuance of certificate: Date fee paid: 1- 2 -7- n Type of unit: Dwelling �Other Check# 2 Check date: Notes: e tnkd0penthnp&tor � 11 o CITY OF SALEM, MASSACHUSETTS v BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#34-04 DATE ISSUED: 01/28/2004 Property Located at: 43 Dow Street UNIT#: 2 I Owner/Agent: Pedro Rodriguez Address: 43 Carmel Street Apt. 1 City/Town: Chelsea, MA Zip Code: 02150 24 Hour Phone: 817-884-3292 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 if 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 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. F R THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 4 ,; —UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE CIRCLE ONE OWNER/LESSER x).rter , MANAGER/AGENT No P.O. Box v No P.O. Box ADDRESS_( CJ ADDRESS CITY 0 he � S' t��, G � L 5-0 CITY___IL:� L"1 RESIDENCE PHONEFcr iz 3 -T 7 BUSINESS PHONE(24 HRS) BUSINESS PHONE TOTAL NUMBER OFF ROOMS: // ROOM USE: 1./�:2. C '_3._ ' J 4. 5. 5 _6.- 7._ 8. i 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. fi yr APPLICANTS SIGNATURE/t� �J�` 7 DATE i 'J.. � L/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 4 a� _y�_—DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/ d-,? 6 �k DATE FEE PAID: / - d- TYPE OF UNIT: DWELLING/OTHER_ CHECK #_7 Y6 —CHECK DATES 7 D r NOTES: _ CODE ENFORCEMENT INSPECTOR 9/28/98 w �o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR 3 S1 _ SALEM, MA 01970 CERT.# 414-02 FEE TEL. 978-741-1800 DATE: 08/02/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 43 Dow Street UNIT #: 2 Left OWNER/AGENT: Angela Hiraldo ADDRESS: 385 Lafayette Street #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3638 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 . FOFO T�D OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I `r CITY 'F SALEM;MASSACHUSETTS f BOARDoF,,H LTH i L s 120 WASHINGTON STREET '4TH FLOOR _ SALEM MA_01970 s� ...,.. TEL: 978-74 1-1800 //I FAX 978-745-0343 wf STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE CHAPTER!,11,.105 CMR 410.000 "MINIMUM STANDARDS.OF FITNESS FOR HUMAN HABITATION' GcJ� 5 y UN PROPERTY-LOC, ` `� b IT# .Z ¥ IS THIS UNIT DESIGNATED AS RIGHT EF --FRONT:BACK=PLEASE CIRCLE ONE .� OWNER/LESSE ENT NoP O Boxg t r n Ys r c� r.a o^- tai Ss' a5 ti. CITY� k j f Y { 1 1-Zf"` `niw Ya #'ns Jka x.13-� �J�h°< t 7 z'. 'C 'I �t�.d� t•11 � 3 da s t - : rx r RESIDENCE'PHONE S USINE S&PHONE (24 HRS) 49` i'..y,�'R;°"Y�" `•S Js+ t' h .# - p7 BUSINESS PHONE�, fi,r Yu, > 1 r.. a x c e ETNA 53 ac. �L.�i:S Y .. ' � is w ss ^ ., �.az a a �� � k � m� - "� TO,T14 UMBERO RO�OIJISR-I������' '��3' ��J i�i tva $ F ROONIUSE 1J i A xla Vyl u d 4' #a 4TM� ,.i 2h vtFw"4Y„ F�� --�z• 'Yin���-�� �� 1G� ��' yg� � � Ers. T� �� ���i}s ��tv r `,r K -. HLWENlY`FE00)DOLLARFEE;PAYABL5( ECKORu10NE1 ERSIA SAYABLEAa x a= �ORDERf O,7HE"CITY�O V ($25 SALEMI EALTHDEPARTMENTTHIS: E ,iMEfOM F PECT ONl M. L " AcPPL-CANTS SIGNATURE �C c 2 � 4A.� i #I �'AA I F_OU INITI4L�INSPECTIOfS� � � L' DATE�OFSREINSPECTION k Y-rRl} ,1 ax. �z { � ! V;M a gd* �ry (k *'� `�DATE OF+ISSUANCE OF CERTIFICATE 4 DATEJFEE�PI© CT . ,. �, r gdy,ma*gjn3}ic atc� 7,¢ "s Ii ° �,e 3 l --__ F $ fj t i a TYPE O�rF UNIT nDWELLING �OTHER CHECK# I CHECK DATE 7 a o .2L r BJ s { ��`x4�N" �'JNOTES f- dYi 4 i '£4h�y Y q P3 4 .zc6 h `a«`3' i L K -2- v$"r N x s ✓5 2 v P 3 x `c. - �.:r} �'; ��.r - r/�z S +`«f%4 L 1 tL,rci gki�1 J.r yn'.r �t '+ ,3..x d «� � J* r�P �zi•5 } s„ _ r .�, z ' « :: 4 �. CODEENFOACENIENT�INSPECTgR r�--• ^�^�jj H s v '°' s:`° L, ki•.2 �. S r_S° M 't,F#t 4p"c +Y'4`;�'t ayr i. "rY t s €YL § t,,s.a 4 x . . S'a�' u�'t z ,! �e .{`i3 �3y�,,lr -a; �1•rC�'�I."l$v�).£re �' �'l �c 3 �f`t.. v iFa � a "Ns 1a _h .d"�'#. i� � FJ• '4 ��.--: $$ r � f f yy. eeee i'. � , . i -, �,_ ��� , �� � ��� ,, * CITY OF SALEM, MASSACHUSETTS J g BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#378-05 DATE ISSUED: 6/14/05 Property Located at: 44 Dow Street UNIT# 1 Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS +' BOARD OF HEALTH + • 120 WASHINGTON STREET, 4TH FLOOR .1i SALEM, MA 0 197 3�7 0 4 �(/ 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 It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT !. � UNIT # IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE x OWNERILESSER_"/ �01,-qC�Ate:iMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS .�r ADDRESS _-- CITY�_�71�� /�' �CITY_ RESIDENCE PHONegU y 113-TBUSINESS PHONE (24 HRS)_ _ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 2. lN1U631�5�hp 4. I�/tGD/j! d?�f16f1n1f. '/Tc �tt�8.✓� t?t�t�l?'( 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. l APPLICANTS SIGNATURE i7J DAT INSPECT RS USEDN Y p r DATE OF INRIAL INSPECTION _fa f3 T DATE OF REINSPECTION__- r / DATE OF ISSUANCE OF CERTIFICATE C-1..3 �..._DATE FEE PAID 4� p r TYPE OF UNIi-: DWELL1NI; OTHER CHECK P © CHECK DATE 1P 3f a NOTES f(\ i CODE ENFORCEMENT INSPECTOR 9/ZR/98 CITY OF SALEM, MASSACHUSETTS �+ BOARD OF HEALTH �. 120 WASHINGTON STREET, 4TH FLOOR mo SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 5/26105 Jose Veloz 44 Dow Street Salem, MA 01970 PROPERTY LOCATED AT 44 Dow Street Unit 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Jo4e Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH r m 120 WASHINGTON STREET, 4TH FLOOR _ e SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#379-05 DATE ISSUED: 6/14/05 Property Located at: 46 Dow Street UNIT# 1 Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CTTY OF SALEM, MASSACHUSETTS • �" BOARD OF HEALTH �' • Ila 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 "'(//(((/j//��tt///f ''��CCJJ{{.""yy✓�..jj 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 fr�--UNIT N f IS THIS UNIT DESIGNATED AS//RII�G,,HT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERtLESSER)—//VO L,'Cike MANAGER/AGENT_ _. No P.O. Box / /� t� No P.O. Box ADDRESS{ �/ (] JC��CP� j�F S(/7ADDRESS _. CITY 41( , r�/ � CITY RESIDENCE PHON0q7f- h f)3fBUSINESS PHONE (24 HRS-)—..--- BE USINESS PHON ` tld • G� e�? - TOTAL NUMBER OF ROOMS:— ROOM USE: OLI) 5k L7CW _7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEPARTMENTTHIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE __ DATE_ a�- INSPECT(>RS USE ONLY I I DAT E OF INITIAL_ INSPECTION �"�j.3 "b�.___DATE OF REINSPECTION_-_____._ _ - __ e� DATE OF ISSUANCE OF CERT IRCATE40 - f. ? . '_.._DATE FEE PAID TYPE OF UNIT DWELL-INCj OTHER CHECK H`f( 7S' CHFCK DATE NOTES //� CODE ENFORCEMENT INSPECTOR - 9%1_t3/9Fi ... . CERT.# 158-97 FEE $25.06 1Y - DATE::. 03/13/97 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: 46 Dow Street UNIT #: 2 OWNER/AGENT: Jose Veloz ADDRESS: 44 Dow Street - CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-6328 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 qv-" `" & JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CrrY 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 A.T�rp �fJ2 f/ � I��!- _UNIT I OW`NFR/LESSER__`� 052. \) (.b `Z_..- MANAGER/AGENT ADDRESS 41L1 ;qp4f ADDRESS CITYLE �'C2�� mr�7d CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE S`p "Z. TOTAL NUMBER OF ROOMS:_ ROOM USE: I. 2. 3. 4 .� 5. —6. 7._ 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE _ DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: / 7 DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: 7 'T7( DATE FEE PAID / �f TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR — R R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970`3928 "" 14 JOANNE SCOTT,MPH,-RS.CHOP`. ' ``' NINE NORTH STREET HEALTH AGENT ' - - .. Tel;(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code o: Massachusetts aegulatious 410.0:;0 et. seq. ; Staile Sanitary Code Chapter 11 ap.d Article RZII 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 :author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. L. the event it is necessary that said inspection be done in my/our absence , 1/we expressly authorize the same and for my/our successors and ,assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents .`sora any, loss or injury sustained of whatever nature' and description occasioned .q •� . by my/cur. absence during said inspec' tor,' 1Y+22J.Gf�ioil TENANT'/LESSF,F O R i.ESSOR l�/i �------ ADJPiEss ADD ESS ADDRESS OF UNIT TO BE INSPECTED __ 2 7 DAT E ~ Y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR rry SALEM, MA 01970 .p� TEL, 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#495-05 DATE ISSUED: 814105 Property Located at: 52 Dow Street UNIT#41 Owner/Agent: Dow Street LLC Address: 102 Lafayette Street City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4967 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 "3 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ' 'BOARD OF HEALTH • • - 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 - l - - fAX 978-745-0343 Q STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -I 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 5a Jm7 4.e_A. Sa I-Pm� UNITS#A IS THIS UNIT DESIGNATED ASiR GHT LEFT FRONT 13ACK PLEASE CIRCLE ONE OWNER/LESSER Dow Street LLC MANAGER/AGENT Salem Property Managers, No P.O. Box No P.O. Box ADDRESS 102 Lafayette Street ADDRESS102 Lafayette Street CITY Salem, MA 01970 CITY Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.)978 745-4961 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.61ity,\ 2.kA _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. i APPLICANTS SIGNATURE i —DATE_2 INSPECTO S USE ONLY DATE OF INITIAL INSPECTION _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: oJ�._DATE FEE PAID: TYPE OF UNIT: DWELLING _OTHER_ CHECK#�O S 5� CHECK DATE�r�- NOTES: - CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, Pti1lliCHe8lth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 tarry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-312 DATE ISSUED: 9/28/2015 Property Located at: 52 DOW STREET UNIT#42 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825.4018 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,— '4/ � Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT AN CITY OF SALEM, MASSACHUSETTS ra � BOARD OF HEALTH sus 120 W 1SxrNGr()ti STREET,4"'FLOOR TEL. (978) 741-1800 KIMB:ERLEY DIUSCO.LL Fax(978) 745-0343 MAYOR r.aAmi 1N&SAreM (,0 Lr\RR1'R:\:\{DIN,RS�RIFIS,CI10,CP-FS H[?ar,m AGriiNr 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 52 DOW STREET, SALEM MA 01970 UNIT# 42 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE NORTH SHORE COMM. OWNER/LESSE LAFAYETTE HOUSING LIMITED PARTNERSHIP MANAGER/AGENT DEV. COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM. MA 01970 CITY, STATE,ZIP SALEM,MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS:—6 ROOM USE: LLIV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5. BEDRM 6. BEDRM 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 FE SPAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ( DATE Inspectors use only Date on initial inspection:OTM4—wS Date of reinspection: Date of issuance of certificate: 2&D Date fee paid:oq1 Sr Type of unit: Dwellin / Other Check# 2A Check date: Notes: Staff ries :�oy1v0-++1a4 �n V031 Coe fo cement Insp ctor �o�1T f CERT.# 417-00 FEE $25 .00 DATE: 06/29/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 52 Dow Street UNIT #: 43 OWNER/AGENT: Minnie Frisch Realty ADDRESS: P.O. Box 445 CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 599-8866 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 V (;96 491".1 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAx 978-745-0343 MAYOR WWW.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 8/11/05 Dow Street LLC - Stephen Wolfloere 40 Appleton Street Cambridge, MA 02138 PROPERTY LOCATED AT 52 Dow Street Unit 43 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 da not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health�LReply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax:(978)740.9705 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATS / c44eztY UNIT#_4 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE `` OWNER/LESSER n S Kl?a' MANAGER/AGENTHdlkli I S A No P.O. Box 44o P.O. Box ADDRESS P.O, BOX qy� ADDRESS f 0, 60Y V V5 CITY Ga U� 1�1I CITY" kA 6 1915 RESIDENCE PHONE BUSINESS PHONE (24 HRS.) d d BUSINESS PHONE 70-L ft -M&G TOTAL NUMBER OF ROOMS:: ROOM USE: 1.91 2. (,/j AL3. 4. 5. P -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. �p APPLICANTS SIGNATURE f '��I _- —_DATEDD INSPECTORS USE ONLY DATE OF INITIAL INSPECTION/ e-v DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEZ a DATE FEE PAID: :�—,-xt —� TYPE OF UNIT: DWELLING /OTHER_ CHECK# 2 7 1 rd CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 117-06 DATE ISSUED: 3/9/06 Property Located at: 52 Dow Street UNIT#44 Owner/Agent: Dow Street LLC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 IP' 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 C JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Ilk CITY OF SALEM, MASSACHUSETTS BOARD HEALTH S R' • � 120 WASHINGTON STREET, 4TH FLOOR 3 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT i 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 6a Low 5�• UNIT _4 # a IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Dow Street LLC MANAGER/AGENT Salem Property Managers , No P.O. Box No P.O. Box ADDRESS 102 Lafayette Street ADDRESS102 . Lafayette Street CITY Salem, MA 01970 CITY Salem, MA 01970 RESIDENCE PHONE BUSINESS PHONE (24 HRS.)978 745-4961 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.L_v)b2nL 2.k4jtlA3. 15eAgoen 4. gym, 5.eyeAtot,,6. 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE I SPECT RS USE ONLY DATE OF INITIAL INSPECTION 6t/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE!6_ DATE FEE PAID:�'� �a 3 TYPE OF UNIT: DWELLIN OTHER_ CHECK# 7 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, NIASSACHUSF-ITS 120 WASHINGTON STRF6'P,4"' F1,0(M KIM3FRI:,I_"Y DRISCOLL rEj-. (978) 741-1800 FAX (978) 745-0343 MAYOR jrwnc yiosalein cocas LARRY lLV�fUTAJ,Rti�RISI I5,CH(l,CIr-I'ti Iii::v;rrrAcr.N'r CERTIFICATE OF FITNESS CERTIFICATE #522-11 DATE ISSUED: 12112/2011 Property Located at: 52 Dow Street UNIT#45 Owner/Agent: Dow Street LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-581-8060 An inspection of your vacant.Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH RRY RAMDIN _ HEALTH AGENT C90E ENFORGITMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • BmRD OF HEALTH 120 WdSHINGTON SI'REEr,4"FLOOR TEL.(978)741-1800 lJty�� KIMBERLEY DRISCOLL FAX(978)745-0343 lJ� MAYOR 1ILWIDiN& I.H.W.( t LARRYRAMIAN,RS/It EIIS,CIIO,CP-rN . Ha:Aun i Aci:Nr 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 .::5�Z -06k) UNIT# 7.2 IS THIS UNIT DISIGNATED AS RIGHT LSP FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER Dow Yj-k e i l • LLQ MANAGER/AGENTZ&&/f✓.fl CT ��,�etiT� /y�J.�Tf-9 ADDRESS—1 Z �i�Jt✓IJ/J S ADDRESS CrrY,STATE,ZIP //'i.eD r`GND jyj/fI /ff CITY, STATE,;ziP �iyy -(J�L� / /AA &14 07 RESIDENCE PHONE 'p BUSINESS PHONE(24HRS) BUSINESS PHONE' V1 ✓( / Jr 4149 0 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. . 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR ABLE HECK OR ONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P LE A ECTION APPLICANT'S SIGNATURE DATE / imectors use only Date on initial inspection:IT ( rl +I Date of reinspection: Date of issuance of certificate: Date fee paid:, Type of unit; DwellingOther Check#��Chec date: Notes: �iiPV1 h� ux r � } 11CT-� '.-4w, tpn f1Pc oYl� Code EdWo6Aeni Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH publicHealth 120 WASHINGTON STREET,4"t FLOOR Preve"n,Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0143 KIMBERLEY DRISCOLL Itamdin@salem.com L ARRY RADiDIN,IiS/REI-IS,CFIO,CI)-FS S MAYOR HI'..v:ei-i A(;C1-INT CERTIFICATE OF FITNESS CERTIFICATE#354-14 DATE ISSUED: 10/23/2014 Property Located at: 52 Dow Street UNIT#46 Owner/Agent: Dow Street LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-595-0100 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 L4A*A AR MDIN HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS '4.-4 BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR I RAMDIN SALEM.COM LARRY RANIDIN,RS/RFI IS,CI 10,CP-(R HI}:AI,' I-I AG FN7' 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 5 nu) UNIT#4 IS THIS UNIT DDIISI NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER aW vel MANAGER/AGENTT P! Ao C I ADDRESS J N ADDRESS f uX CITY, STATE,ZIP �Q/ioN ) , /Q CITY, STATE, ZIP h-n fl(/ �� . A Ol s0� ,/ f RESIDENCE PHONE �r/ �/ J 6 l 0 a BUSINESS PHONE(24HRS) � BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F ABLE Y HE OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS ABLE AT ECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: U Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling----Other—Check# �[ Check date: Notes: Code Inspector Inspector WI CITY OF SALEM, MASSACHUSFITS 1J BOARD OF H&. L'I"H 120 WASHINGTON SI"REFT 4...FLOOR PubliCHealth _ TFL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin a?,salem.com MAYOR LARRY RAMI)IN,RS/R@.I-IS,CI 10,(:RFS Ht AMi-[AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter li 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 he 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 Address Address Address on unit to be inspected Date Updated 5/23111 City of Salem, Massachusetts fa Sem Board of Health D 120 Washington Street, 4th Floor, Salem, PPPlubPromote,ealth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-233 DATE ISSUED: 8/14/2015 Property Located at: 52 DOW STREET UNIT#47 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)825-4018 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,-- Y @t Larry Ramdin, MPH, REHS, CHO Sg ITARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS �a BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I,RAMDINJkSALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 52 DOW ST., SALEM MA 01970 UNIT#47 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSE CONGRESS&DOW LLC MANAGER/AGENT NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM. MA 01970 CITY, STATE,ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLN.ROM 2.KITCHEN 3. BEDRM 4.BEDRM 5.BEDRM 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 S P YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: 011312.01S- Date fee paid: O�1D612401 f Type of unit: Dwelling V' Other Check# 216 Check date: 0 X�Q 3/L©1S Notes: C nf9 cement I ctor CITY OF SALEM, MASSACHUSETTS t . BOARD OF HEALTH 120 WASHINGTON S'ii�F-F:r,4T"Fr,OOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAMDIN&SAI.I.M.COM LARRY RAMDIN,RS/REHS,C1 10,CP-FS HEAL'n-I AG ENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the'Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. �� CRA W u� T nant/Lessee Owner ssor Address Address Address on unit to be inspect Date Updated 5/23/11 ` ND,� City of Salem, Massachusetts Board of Health 9 120 Washington Street, 4th Floor, Salem, PublicHealth E Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-143 DATE ISSUED: 6/26/2015 Property Located at: 52-60 DOW STREET UNIT#48 Owner/Agent: Congress 8r Ward LLC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-8071 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SA>I I ARIAN f CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR LRAMDIN@aSALEM.COM LARRY RAM AN,RS/RI31-1S,CHO,CP-FS HF'AIxH 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 52 DOW ST., SALEM MA 01970 UNIT#48 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSE CONGRESS &DOW LLC MANAGER/AGENT NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM, MA 01970 CITY, STATE,ZIP SALEM MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5. BEDRM 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 ISP YABBLLE\AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �L >—. DATE z+ Inspectors use only Date on initial inspection: 06.122�LI2 6 L _ Date of reinspection: ` Date of issuance of certificate: Date fee paid: 0612.&1201S- Type of unit: Dwelling Other Check# j-r7V Check date: /ZSl20Zs Notes: C000fo ement Inspe or r1 rpNDITCity of Salem, Massachusetts � W Board of Health 9 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-97 DATE ISSUED: 5/29/2015 Property Located at: 52-60 DOW STREET UNIT#53 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH ✓--A4� /1� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i. CITY OF SALEM, MASSACHUSETTS r &e BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (9',(9) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANIDIN00 SALEM= LARRY RAMDIN,ILS/RLI-IS,0-10,CP-FS HEV::I'H ADEN'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" FEE: $50.00 PROPERTY LOCATED AT 60 DOW ST., SALEM MA 01970 UNIT#53 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSE CONGRESS&DOW LLC MANAGERIAGENT NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM, MA 01970 CITY, STATE,ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV.ROM 2.KITCHEN 3.BEDRM 4. BEDRM 5. BEDRM 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 FEES RAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 5 e2 O Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: S-L) -)S Date fee paid: S-2-) Type of unit: Dwelling— ✓Other Check# )_) Check date: 'S-2:7-'S- Notes: -2`7-'jNotes: Code EnIbrcement Inspector . . x . CONDiT,t City of Salem, Massachusetts IV Board of Health 120 Washington Street, 4th Floor, Salem, PublicFieAlth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-127 DATE ISSUED: 6/18/2015 Property Located at: 52-60 DOW STREET UNIT#54 Owner/Agent: Congress &Ward LLC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-8071 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS T � BOARD OF HF_ I TH �fm 120 WASHINGTON STREET,4"'FLOOR TEL. (97 8) 741-1800 14bIBERI_,EY DRISCOLL FAX(978) 745-0343 MAYOR LRAn1D]N(a)SALEM COM L.-kRRY RAMI)IN,ILS/REHS,CHO,C114S HEAD1 J I AGEN(- 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 60 DOW ST., SALEM MA 01970 UNIT#54 IS THIS UNIT D�I�SIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSE CONGRESS&DOW LLC MANAGERIAGENT NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE, ZIP SALEM. MA 01970 CITY, STATE,ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLN. ROM 2.KITCHEN 3. BEDRM 4. BEDRM 5. BEDRM 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 P, YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only rr Date on initial inspection: Q6/1 '&o-5- Date of reinspection: Date of issuance of certificate:00/2 .20 5� Date fee paid:_04 Type of of unit: Dwelling Other Check#Check''//date: �6/Z�2021I5� Notes: SC'ree_nsLL ne.2,UA +or AoJ� room w����in//Lw aAd- �nil60,.- fk -FeL� wincLw, a nOn'\ On T�P q 9 WA IC LCIna !.i"r�. L C;klk Plu s Uo'f TOM WlnJnw pane CrC W/in l2b)V,/e 2 C d nfoy ement Inspe or CITY OF SALEM, MASSACHUSETTS s BOARD OF HEALTH IIA9 120 WASHINGTON STREET, 4TH FLOOR SALEM. MA 01970 TEL. 978-741-1800 FAx 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #590-07 DATE ISSUED: 1213!2007 Property Located at: 56 Dow Street UNIT#42 Owner/Agent: Dow Street LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-595-0100 An inspection of your vacant Dwelling/Roaming Unit at the above address has been approved and is in compliance with 105 CMR 410,000: Massachusetts State Sanitary Code, Chapter Il" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF/HEALTH J NNE SCOTT, MPH, RS, CHO day H ALTH AGENT CODE ENFORCEMENT INSPECTOR / CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Oct• • 120 WASHINGTON STREET, 4TH FLOOR V SALEM, MA 01970 TEL. 978-741-1600 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 II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT SZ DOW PT UNIT#j IS THIS UNIT DESIGNATED A RIGHT EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERbOlN Pel L&G MANAGERIAGENTZrMjPV/ G%y 117r sr'G No P.O. BoxNo P.O. Box ADDRESS (Z- AfNJP' S'7— ADDRESS /L /12•f1/N CITY i e p/10"1 rnIV O Z/J T CITY /��0� 177,12 O Z/J1` RESIDENCE PHONE71P/ S I,r 01a6 BUSINESS PHONE (24 HRS.)7Jcf� ' rOIpO BUSINESS PHONE-?,P/ S 9r0/00 TOTAL NUMBER OF ROOMS:t4--- ROOM USE: 1. 6 � 2. e-b 3. 2 D 4. Fe Pl^—' 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE @ DATE �J INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Jr���j DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: i 1 -7,- 7 DATE FEE PAID: 1 , - o 2 TYPE OF UNIT: DWELLINGeTHER_ CHECK# -36 0 CHECK DATE I --7 NOTES: CO�CEMENT IIlPECTOR 9/28/98 ¢ CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR PriblicHea Ith Prevent,Promote.Protect. TEL. (978) 741-1800 Fax(978) 745-0343 IQMBERLEY DRISCOLL tramdin@salem.com MAYOR LARRY RANIDIN,RS/REHS,CHO,CP-I'S HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 198-13 DATE ISSUED: 6/11/2013 Property Located at: 56 Dow Street UNIT#49 Owner/Agent: Dow Street LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-595-0100 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. �TR THE BO D O�H LARRY RAMDIN h HEALTH AGENT SANITARIAN 0 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubliCHealth vrevem.I•romou.Pmmn. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR LARRY 1LAMDh IN,RS/RL: IS,Cl iO,CP-FS 1-IFAJm-i AG13N'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" j� FEE: $50.00 9 PROPERTY LOCATED AT Sb v L S UNIT# �L IS THIS UNITTDDISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER L �'Z— MANAGER/AGENT--iMs4/1c!` ?aoV6vI Y NO P.O. BOX �h ADDRESS ADDRESS CITY, STATE,ZIP /vier/ G/L� h/ /D CITY, STATE,ZIP (]Zl�T RESIDENCE PHONE J S G 0 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 0--h 2. )7e 0 3, �e 0 4. 1P A 5 AioA,,t 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE YABLE CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABLE A T E OF IN ECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: ( -1 I Date of reinspection: Date of issuance of certificate: b-11-0 Date fee paid: Type of unit: Dwelling r/ Other Check# N 1-75 Check date: Notes: mg/-� Code Enforcement Inspector TRANSMISSION VERIFICATION REPORT TIME 06/19/2013 00:29 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATE,TIME 06/19 00:28 FAX NO./NAME 919787449614 DURATION 00: 00: 18 PAGE(S) 01 RESULT OK MODE STANDARD ECM • TRANSMISSION VERIFICATION REPORT TIME 06/19/2013 00:27 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 06119 00:27 FAX NO./NAME 9197874449614 DURATION 00: 00: 00 PAGE(S) 00 RESULT BUSY MODE STANDARD BUSY: BUSY/NO RESPONSE r Y , CITY OF SALEM, MASSACHUSETTS • < BOARD OF HEALTH 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# 121-07 DATE ISSUED: 3/20/2007 Property Located at: 56 Dow Street UNIT#51 Owner/Agent: Dow Street LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-595-0100 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, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO T�RD OFPEALTH JOANNE SCOTT, MPH, RS, CHO °l _ HEALTH AGENT CODE ENFORCEMENT INSPECT 1 i Ct1Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WA5HiNOTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 go FAX 978-745-0949 {,,, JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTti 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_(t `✓0 I`0 J7- -.-------UNIT#f/ IS THIS UNIT DESIGNATED AS RLqHl LEFTyI/Z ee T FRO BACK PLEASE CIRCLE ONE OWNERILESSER001V Si<tc MANAGERIAGENT NO P.O. BOX No P.O. Box ADDRESS�? �1/fin ---ADDRESS_—,_ CITY/u� Y'f cly'r.r- CITY RESIDENCE PHON-E BUSINESS PHONE (24 HRS.)!�� BUSINESS PHONE ,. - '-t o` o U _ TOTAL NUMBER OF ROOMS.`v_ ROOM USE: 1. - Z_ _..._-__.-_3f 4 5�--- .--- -- --^6& 7 THERE IS A TWENTY-FIVE ($25.00 D AR EE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE ALT A MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. -?V'4 -0 APPLICANTS SIGNAI"URE ." _____ DATE �'9.�T -- INSPECT; RS USE ONLY GATE OF INITIAL INSPECTION__ - 0 -p 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 5' "�` '� DATE FEE PAID , TYPE OF UNIT DWEi-LIN OTHI-R CHECK N 1374 CHECK DA?F :5r - / l 7 NOTES: CODE [..NF0i1(;f.:MI-N 1 DI City of Salem, Massachusetts W Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-228 DATE ISSUED: 817/2015 Property Located at: 56 DOW STREET UNIT#52 Owner/Agent: North Shore CDC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 825-4018 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANI� IAN y • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAMDIN SALEM.COM LARRY RAMDIN,RS/RFHS,CHO,CP-FS Hi3AI.PH 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 56 DOW ST., SALEM MA 01970 UNIT#52 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSE CONGRESS&DOW LLC MANAGER/AGENT NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM, MA 01970 CITY, STATE,ZIP SALEM, MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 6 ROOM USE: LLIV.ROM 2.KITCHEN 3.BEDRM 4.BEDRM 5.BEDRM 6.BEDRM 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 AYYAABLLEE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE�V�o �' �—. DATE 6 01 Inspectors use only Date on initial inspection: 01/0��1r Date of reinspection: Date of issuance of certificate:0 O Date fee paid: 0)7/061.2-c,4 Type of unit: Dwelling 11 Other Check# �fCheck date: OYIOYI-2-a 5 Notes: ` `c`/K' v�Ki2ii Lzi rnnrn Srnk nezols Fn be ra d , / Ao Q_ arta w ,sri4a SCrernCFnY' 4 win wS � f�e, n dl af^�m eh f. C ent In/s nfoy emector CO "4" City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliGHeBlth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-16-183 DATE ISSUED: 5/27/2016 Property Located at: 57 DOW STREET UNIT#1 Owner/Agent: 57-59 Dow Street, LLC Address: 2 Penny Lane City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(781)710-7765 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 andlor 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 &ffrel�y Barosy Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS V . BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR r,.Pii mr.hebr. TEL. (978) 741-1800 FAX(978)745-0343 K MBERLEY DRISCOLL ]raamdin@salem.com LARRY RAMDIN,RS/RENS,CHO,CP-FS MAYOR HL' nj AGENT DOW Cn� 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 5-2 064o .�54, tt UNIT# 1S 71HSUNIT DISIGNI h ATED AS R]&Off L�pI3ONr OR CK PLEASE/CIRCLE ONE OWNER/LESSER S - 5'1/ 17 SY; L L MANAGER/AGENT�S`' aA4K2QqA NO BOX p� ��� � L n ADDRESS ' ADDRESS d� CrI Y, STATE,ZIP S,e\)z r)U 00 01 l I tJ CITY,STATE,ZIP RESIDENCE PHONE '781-71 a --77 A e BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1 R, on 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 ISP T TIME OF INSPECTTON APPLICANT'S SIGNATURE DATES Z Insuectors use only Date on initial inspection: Z a/yn1/,' Date of reinspection: Date of issuance of certificate:O S/2S'o:L g Date fee paid:n�Z2f2� 6 Type of unit: Dwelling Other Check# X22. Check date:��2�F � Notes: U y'nom neAmf j s., b.s64i d C e or ent hLcp To Whom it May Concern: I, Joshua Diperri, permit my landlord, John Cavanaugh or Jaclyn Garber, to enter my premises located at 57 Dow Street, Unit#1 for the City of Salem to perform its home inspection. Sincerely, Joshua Diperri I " CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR iPRb�1CHC81th STREET, Prevent,Promote,Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLFYDRISCOLL Itamdin@salcm.com LiARRY RTMI>IN,RS/R]iHS,CHO,CY-PS MAYOR Hull;LH AGENT CERTIFICATE OF FITNESS CERTIFICATE#69-15 DATE ISSUED: 3/16/2015 Property Located at: 57 Dow Street UNIT#2 Owner/Agent: Dan Albert Address: 58 Leicester Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 301-642-7823 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/Roaming 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. ;chis Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSETTS Y 4 BOARD OF HEALTH 120 WASHINGTON STRFFT,4"'FLOOR �� TEL(978)741-1800 �o KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRANIDIN n@SN.FNI COM LARRY RAMDIN,RS/RLk4S,CI{O,CRFS - HFAI.PH AtH3NT - Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE:� $50.0;,0 PROPERTY LOCATED AT 5 , 4''�/ UNITO 7 IS THIS UNIT DISI NA 7 EDD/AASSS RIIGIrP EFFRF ONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS 529 Z—e1C q ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP l✓� RESIDENCE PHONE BUSINESS PHONE(24HRS) �G Lep Z �� BUSINESS PHONE J � �cPnc�oor�0�cfvll-.ulcayfc" TOTAL NUMBER OF ROOMS: `7 _ 1 ROOM USE: 1. PrKI 2. f-M 3. G"�� 4 / 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEk,PAYABLE ECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS Y AT E OF INSPECTION APPLICANT'S SIGNATURE DATE 3L , IMectors use only Date on initial inspection: �' Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other—Check# R _Check date: 1 , Notes: Co&rtnfgkemrent Inspector City of Salem, Massachusetts Board of Health n 120 Washington Street, 4th Floor, Salem, PublicFleaIth MA 01970 Prevent. Promote. Proleci. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-5 DATE ISSUED: 3/25/2015 Property Located at: 59 DOW STREET UNIT#1 Owner/Agent: Dan Albert Address: 58 Leicester Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: (781)636-0350 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD/}OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN F CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH__ - .- --- . 120 WASHINGTON STREET,47'FLOOR TEL. (978)741-1800 KiMBERLEY DRISCOLL FAX.(978)745-0343 MAYOR LRAMLAN, ALF;M.COM LARRY RAMDIN,RS/RPA-B,CHQ,cmw, HEAi.FI-I AGEN,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" FEE: $50.00 PROPERTY LOCATED AT / C�/ UNIT#- j IS THIS U T DISIGNA ED AS RIGHT LEFT FRONT OR RACK.PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.Q.BOX .ADDRESS j9 6-04C_Qt &L—ADDRESS i2>� CITY, STATE,ZIP /��7� j�CITY, STATE,ZIP RESIDENCE PHONE 29! �JQ le / BUSINESS PHONE(24HRS) l 7 "L �9Z,3 BUSINESS PHONE )) TOTAL NUMBER OF RO O M S: N ROOM USE: 1. 2"PAYABLE � 6. 7. 10. THERE IS A FIFTY($50)DOLLR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEENSPECTIONAPPLICANT'S SIGNATUREDATE �3 / / Inspectors use only Date on initial inspection: Date Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code hdCo4&ntt Inspector CITY OF SALEM, MASSACHUSETTS ,�. BOARD OF HEALTH 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#220-06 DATE ISSUED: 5/1/06 Property Located at: 59 Dow Street UNIT#2 Owner/Agent: Shawn Thompson Address: P.O. Box 80371 City/Town: Stoneham, MA Zip Code: 02180 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 3/ALko� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT (tOff ENFORCEMENT INSPECTOR (�y - iarJ.waaMa'i /.;.Yi��+;Ost . . .. '�(•(,�N �l`ry�' �-y1 in <_ -'=C i Y OF SALEM; CHUSCM BOARD OF HEALTH f - 120 WAS ,IN .4TH FLOOR SALE �Y SALEM. MAA Of Ot 970 TEL. 978 741-1800 FAX 970.745-0348 STANLEY USOVICZ,JR- JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION*. PROPERTY LOCATED AT✓_�1 5 q �nD} St UNIT #t3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE 1 OWNERILESSER,51a n 16om0SW MANAGERfAGENT _ No P.O. Box [� No P .Box ADDRESS f . 0:2 ,2V k0�l ____ADD.ORESS -- CITY on ema6ajWITy �. RESIDENCE PHON� __ !Gc/9SINESS PHONE (24 HRS.)___, BUSINESS PHONE TOTAL NUMBER OF ROOMS:—� ROOM USE: 1.LLV6 f 2. {�i THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FFF IS PAYABLE AT THE TIME OF INSPECTION. `/ APPLICANTS SIGNATURE j�W`- - - ---_--DATE Z/4 -/04_ . INSPECTORS-USE ONLY DATE OF INITIAL INSPECTION_--1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE' 1' DATL PEI- PAID -5 l TYPE OF UNI1DWELL OTHER CHECK I+ _ S CHI-'.CK DATE NOT k"S CODI INI01Wl MI NI IWWi t. I0 „,;; CITY OF SALEM, MASSACHUSETTS yc BOARD OF HEALTH R 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 s9q TEL. 978-741-1800 p FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#499-05 DATE ISSUED: 8/4/05 Property Located at: 60 Dow Street UNIT#53 Owner/Agent: Dow Street LLC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 Cade 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 JO NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR II w - , CITY OF SALEM, m SSA CHUSEi' S • - BOARD OF HdALTH .F 120 WASHI-NGTON STREET; 4TH.:FLOOR 1 SALEM, MA 01:970 TEL. 978-7d1-1800 lgl"I FAX 978-745-0343 STANLEY WOVICZ, 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 OFF/FITNES&FOR HUMAN HABITATION". PROPERTY LOCATED AT CL/© �� � �� (P-if n UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT,fRONT BACK PLEASE CIRCLE ONE OWNER/LESSERbow Street LLC MANAGER/AG'ENT Salem property Managers, No P.O. Box No o P.O.Box ADDRESS 102 Lafayette Street _ ADDRESS102 Lafayette Street CITY Salem, MA 01970 CITY__ Salem, MA '01970 RESIDENCE PHONE BUSINESS PHONE (24'HRS.)978 745-49,61 BUSINESS PHONE TOTAL NUMBER.OF ROOMS: ) ROOM USE: 1 2. 3.) _4. 5.Sebj&n, 6. 7. 8. THERE IS A TWENTY-FIVE:($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME.OF INSPECTION. APPLICANTS SIGNATURE. DATE �q S C 01 USE ONLY DATE OF INITIAL INSPECTIONS DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: , dJl' DATE FEE PAID:_Z TYPE OF UNIT: DWELLING4/'0THER_ CHECK# 0.S-5 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 � 1 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH - - -1-20-WASHINGTON STREET 4"'FLOOR PablicBealU1 . _ Prevent.Promote,Protect. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL kamdin@satem.com MAYOR LARRY Rr1D4DIN,ILS'f IU:HS,C:[-IO,Cl>-lS HFALTF[A( ENT' CERTIFICATE OF FITNESS CERTIFICATE#62-15 DATE ISSUED: 3/10/2015 Property Located at: 60 Dow Street UNIT#56 Owner/Agent: Congress&Dow Street LLC Address: 102 Lafayette Street City/Town: Salem,MA Zip Cade: 01970 24 Hour Phone: 978-745-4961 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 LAPiRl RAMDIN HEALTH AGENT SANITARIAN • eA s CITY OF SALEM, MASSACHUSETTS e BO.A.RD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR i TEL. (978) 741-1800 —� KIMBERLEY DRISCOLL EIX(978) 745-0343 MAYOR LItA•\4DIN@SALEM.COM LARRY RAMDIN,RS1REI-IS,CHO,C1'41 HEALni AGENT Ala Application for Certificate of Fitness �J�^� 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 60 DOW ST. SALEM,MA. 01970 UNIT# 56 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSE Congress&Dow LLC MANAGERIAGENT: NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM,MA 01970 CITY, STATE,ZIP SALEM,MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV. ROOM 2.KITCHEN 3.BEDRM 4. BEDRM 5.BEDRM 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 ISPY EAT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �U t �1 DATE l 0 1 S r Inspectors use only Date on initial inspection: �I t o(o Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: Notes: CodeTntYcement Inspector • CITY OF SALEM, MASSACHUSETTS BOAxu OF HEALTH PtibIiC23C81th 120 WASHINGTON STREET,4".FLOOR rm•am.rramm".rrmea. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iratndin@salem.com LARRY RAR-tlllN,IYSjREIIS,CI-IO,C11-F'S MAYOR HE,\LI'1-1 AG1`NP CERTIFICATE OF FITNESS CERTIFICATE#63-15 DATE ISSUED: 3/10/2015 Property Located at: 60 Dow Street UNIT#57 Owner/Agent: Congress&Dow Street LLC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 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. i FOR THE BOARD OF HEALTH r LXW RAMDIN './ Le HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET,47 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F.1X(978) 745-0343 MAYOR LRAMDIN(@SALEM.COM LARRY RAiVDIN,RS/REI-IS,C1 10,CP-FS HEAI.XH 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 60 DOW ST. SALEM MA. 01970 UNIT# 57 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSE Congress&Dow LLC MANAGERIAGENT: NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM.MA 01970 CITY, STATE,ZIP SALEM,MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-745-4961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV. ROOM 2.KITCHEN 3. BEDRM 4. BEDRM 5.BEDRM 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 P YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE \ DATE of Inspectors use only Date on initial inspection: 'ba 15 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: —_6yEnG� Code of ement Inspector 3. CITY OF SALEM, MASSACHUSETTS BOARD OF FIEUTH - - __ 1-20 WASHINGTON STREET,4""FLOOR PiibliClieatth Prevem.Pmmrw.rroteei. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramAIq@salem.coin I,atRt R lbil}iN,RS/R];l-IS,C!(O,(11-FS MAYOR Hu,u:ni AGUINT I CERTIFICATE OF FITNESS CERTIFICATE#64-15 DATE ISSUED:3/10/2015 I Property Located at: 60 Dow Street UNIT#58 Owner/Agent: Congress&Dow Street Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 Il"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 LA*Y RAMDIN (f HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS a B0.GT OFTREET,x 120�Y1AsxtwGToty STREET,4°'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOIJ. FAX (978) 745-0343 MAYOR LRA MDIN@SALEM.COM LARRY R.AMOIN,RS/RF,HS,CHO,CP-FS HE. 1 xi-7 AG ENT 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 60 DOW ST. SALEM MA. 41974 UNIT# 58 IS THIS UNIT DISIGNATED ASIR GHT LEFT FRONT OR BAC PLEASE CHICLE ONE OWNERILESSE Congress&Dow LLC MANAGER/AGENT: NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP SALEM.MA 01970 CITY, STATE,ZIP SALEM MA Q 1974 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-7454961 BUSINESS PHONE 978-8254010 TOTAL NUMBER OF ROOMS: 5 ROOM USE: LLIV. ROOM 2.KITCHEN 3.BEDRM 4. BEDRM 5. BEDRM 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 FEES PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE —il `' —DATE-4 1 {{ Inspectors use only Date on initial inspection: �J��U1 Ls Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#-3/—Check date: Notes: Coe hdlo -etit Inspector • CITY OF SALEM, MASSACHUSETTS BOARD OE HEALTH 120 WASHINGTON STREET,4"t FLOOR p11b11CHP.8'<t}l Prevent.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYOR LA R]tY RA MHCP DIN,RS�RES,Cf-IO, -FS HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #70-15 DATE ISSUED: 3/21/2015 Property Located at: 60 Dow Street UNIT# 59 Owner/Agent: Congress& Dow LLC Address: 102 Lafayette Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4961 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 BO RD OF EALTH LARRY RAMDIN ✓� "ro HEALTH AGENT SANITARIAN From:NSCDC 9797454345 03/20/2015 09:40 #727 P.002/002 CITY OF SALEM, MASSACHUSETTS BOARD()I,,HI jLT)I ��� 120 WASHINGTON STREET,4"'Ft,.00R TEL(978) 741-1800 KINIBERLEY DRISCOI L FAX(978)745-0343 11 NL\YOR xaAiniu( sa3 rata��� LARRY R:AhiDIN, IS,CF0.7,Q',I:s HFAIa7i A(3v\vr aw.l�Fcove. Application for Certificate of Fitness A68. IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410,000 r>C "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 60 POW ST„SALEM MA 01970 UNIT#59 IS THIS UNIT DISIGNATED AS RIGHT LEIFT FRONT OR BA I%PLEASE CIRCLE ONE OWNER/LESSE CONGRESS&DOW LLC MANAGER/AGENT NORTH SHORE COMM.DEVELOPMENT COALITION NO P.O.BOX ADDRESS 102 LAFAYETTE ST. ADDRESS 102 LAFAYETTE ST. CITY, STATE,ZIP__ SALEM, MA 01970 CITY, STATE,ZIP SALEM,MA 01970 RESIDENCE PHONE BUSINESS PHONE(24HRS) 978-7454961 BUSINESS PHONE 978-825-4010 TOTAL NUMBER OF ROOMS: 4 ROOM USE: 111V. ROM 2.KITCHEN 3.BEDRM 4, BEDRM 5.BEDRM 6. BEDRM 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 P Y LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE t DATE rI 2orS a Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other _Check# � Check date: Notes: s r Code Enforcement Inspector From NSCDC 9787454345 03/20/2015 09:39 #127 P.001/002 North Shore Community Development Coalition 102 Lafayette Street,Salem,MA 01970 PH: (978)745-8071 FAX: (978) 745-4345 www.northshorecdc.org info n orthshorecdc.org FACSIMILE TRANSMITTAL SHEET u moot Nancy Diaz CO.�IPANI DA'1 11 Board of Idealth 3/20/2015 fAX N1 NI@11R: TW A1.P0.01 PAGIr,S,INCLCUING COVI R: 978-745-0343 2 PHONr NCNRHR10" 978-741-1800 60 Dow St.Apt.59 ❑ aIle CNT ❑ POIi RI:A'II,�\C� ❑ Pl.li.d Sl (UA1Mb;N'I' ❑ NL.P:A 91i. RFrL. ❑ r1.P..ds1: RI:C,YCJ,F NO'I'ILS/l.(IDINFN I> i 1 r i r! n CITY OF SALEM, MASSACHUSETTS BOARD OF f-[E\LTH 120 WASHINGTON STREET,4". NLOOR Tr.a- (978) 741-1800 KIMBE LEY DRISC:OL L FAX(978)745-4343 MAYOR Iramdin �salem.cnm LARKY1,\ASllIN,RS/RHS,CI 10,(T FS 1-1Ii:V;l1 I AC I?NI' CERTIFICATE OF FITNESS CERTIFICATE#381-11 DATE ISSUED: 10/14/2011 Property Located at: 60 Dow Street UNIT#60 Owner/Agent: Dow Street LLC Address: 12 Main Street City/Town: Medford, MA Zip Code: 02155 24 Hour Phone: 781-595-0100 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 RY MDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS Bmm OF HE.NLTH 120 W I SHINGTON STREET,4"'FLUOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1"I1N %:AI.L'M.COM L:\I(Rl'R:\M1ipIN,R5/R Ii11S,Cl lO,C.1'-Iti HIt,\I:rn Mawr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" �D FEE: $50.00 PROPERTY LOCATED AT jr-7p UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR PLEASE CIRCLE ONE OWNER/LESSER Dow S/-2e e) . 1,b L MANAGER/AGENT Z&,W er bw NO P.O BOX ) ADDRESS ! 2I�i��N!!J S ADDRESS�A10 jou'e /Ap/ CITY,STATE,ZIP f/'f.e D j*/V PP71f (J 2/ll C1T . STATE;Z1P LryA 01 � (, 11 A'i0 0/9 a7 RESIDENCE PHONE BUSINESS PHONE(24HRS) � � PW O BUSINESSPHONE' �I TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. . 5. 6. .7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F A L OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS LE INSPECTION APPLICANT'S SIGNATURE ' DATE Inspectors use only Date on initial inspection: I( Date of reinspection: _ Date of issuance of certificate: l q( (/i Date fee paid: Type of unit: Dw-U. Other Check#_Check date: Notes: Code of em t Inspector