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DUNLAP STREET • CITY-OF SALEM. MASSAC USE'F`F'S BOARD of HEALTH 120 W ASHINGTi K STR FFTT4"'FLoCR 'FEL:(-978)-741-18Q0 KIMBERLEY DRISCOLL FAX(978)745-0343 MAID- JMAN(7jNl@a&Ur JANET MANCINI Acfw4o-H43Ai.w ACF,N'T CERTIFICATEOF 1 CERTIFICATE#164-09 DATE- SLIED 3/31/2009 1 Property Located at: 4 Dunlap Street UNIT#1 Owner/Agent:-Cace!-Apa,--rella Address: 4 Dunlap Street 1 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection-of-your-vacant apprpved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Il" MinimnnrStandards-ef-Fitnessf Ion". Therefore, this Certificate is issued by t�nforcement Division of the Salem Board of Health led. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate-validfocone year fwm date ofissuance or.,intfl the c,irrent tenn ever is later. _1 This-Certificate.of Fitnessis valid only if FOR THE BOARD OF HEALTH Xwk&�- JANW MANCINI ACTING HEALTH AGENT COffvSNTORCEM9W INSP C O CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 XVASHINGI ON STREET,4"'FLOOR TET,. (978) 741-1800 KIINIBERLEY DRISCOLL E--x(978) 745-0343 MAYOR IDIONNEQSALI;'M.CO1\I f SNET DIONNE, SENIOR SANITARIAN 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#�_ nn IS THIS UNIT DISIGNATED AVIGHTEFTFRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER lit I Li t' r MANAGER/AGENT NO P.O.BOX ' ADDRESS �l��p ��/ f• — ( U' ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP LVII RESIDENCE PHONE j79-.7 yY- 3 V 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 IS PAYABLE AT THE TIME OF INSPECTION p APPLICANT'S SIGNATURE l rp. C� �� /rhlJ�jf�o DATE3� Laoo9 � f� Inspectors use only Date on initial inspection: 3I3k (bq Date of reinspection: Date of issuance of certificate: Date fee paid: n Type of unit: Dwelling Other Check# 21 2*5 Check date: Notes: CcQctnforcement Inspector `°ND City of Salem, Massachusetts ,- r 3 Board of Health 120 Washington Street, 4th Floor, Salem, PolbltcHealth . . Prevent:Promotb. Protect. 0 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-17-356 DATE ISSUED: 10/19/2017 Property Located at: 9 DUNLAP STREET UNIT#1 Owner/Agent: George &Billie Jean Anderson Address: 9 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 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 SANITARI HEALTH AGENT CITY OF SALEM, MASSACHUSETTS BOARD OF HE1LTH 120 WASHINGTON STREET,4t't FLOOR PublicHealth Pre.ent.Promme.Protect. TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com salem.com MAYOR L.V2RY R.AMDIN,RS/REHb S,CU),CP-FS Hr�.,vt n[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: $550.00 PROPERTY LOCATED AT G?it I Q D 65'f ,lit/if ey-, o74 UNIT# IS THIS UNIT ,DISIGNATED SA RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER�jPS�t'C oJI��iE3t9CW Anne-0MANAGERIAGENT NO P.O. BOX ADDRESS—q �_�1jI�(aI_ eerC ADDRESS CITY, STATE, ZIE �t /�/� Y a / CITY, STATE,ZIP RESIDENCE PHONE"1 [ 0 7�/ c JL 5S- 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 S PAYABLE 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: Type of unit: Dwelling Other Check#-5O� Check date: Notes: Code Enforcement Inspector T CERT.# 223-98 FEE $25.00 3 ;¢ 1, Fs DATE: 04/16/98 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: 9 Dunlap Street UNIT # : 1 OWNER/AGENT: George & Billie Jean Anderson ADDRESS: 9 Dunlap Street, #2 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2355 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR w j K h CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1804 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 HUMANHABITATION". PROPERTY LOCATED AT I ` J\ N� tir`*y� �i UNIT I I OWNER/LESSER'XVaC{��� �1,�(�. kQA 0!!AUSq tANAGER/AGENT T ADDRESS ADDRESS CITY CITY RESIDENCE PHONE 5s- BUSINESS PHONE (24 NRS.) _ BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 . 2.-3.--4 . 5.-_. x.._ 6._ 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TEE CITY OF SALEM' HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TINE OF INSPECTION APPLICANTS SIGNATUREDATE L4 h U tl ? INSPECTOR S USE ONLY DATE OF INITIAL INSPECTION: q, -t16 (// 0A'I'E OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/-/ "Kp '�-� DATE FEE PAID: -1y TYPE OF UNIT: DWELLING,/ OTHER _ NOTES : f� CODE ENFORCEMENT INSPECTOR ry h CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT. MPH, RS,CHO NINE NORTH STREET HEALH AGENT Tel:(978)741-1800 Date: 0 ,T24/98 3Fax: (978)740.9705 Mr. & Mrs. Anderson 9 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 9 Dunlap Street UNIT # I. Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General. Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter IT : Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection_ Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508} 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEEENCTOSED SECTION 105 CMR 410 354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR s m 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 03/16/98 i Fax:(978)740-9705 Charles & Frances Gallant 9 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 9 Dunlap Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as.. owner(.$) tocontact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance-with Chapter 111, Sections 127A and 127B, of the Massachusetts• General Laws, 105 CMR 400 .00;. State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of F.itness: for Human.Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection- Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 03/16/98 Fax:(978)740-9705 Charles & Frances Gallant 9 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 9 Dunlap Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department . This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department . Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8 :00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO ' Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT / gdAz 9��a�i7 G ,5a/,0 ve- 4/27/05 yO t R NQ John &Janet Scanlan 17 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 17 Dunlap 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. mor the Board ofHe t, ql h Reply to `/n,,h(/-��x-!_-- `�/J'c-dam,-_ Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 412-02 `r FEE $25.00 TEL. 978-741-1800 D FAx 978-745-0343 ATE: 08/08/2002 STANLEY USovlcz, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 17 Dunlap Street UNIT #: 2 OWNER/AGENT: John & Janet Scanlan ADDRESS: 17 Dunlap Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0025 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT Q6bE-E1fFORGtf4ENT INSPECTOR NOTE: Light covers needed, repair bath sink leak, 2 cover plates needed, check smoke detectors , cover hole in laundry room wall. aCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT CjT UNIT# G� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERJoh�N a�.c� Yh S��/IANAGER/AGENT No P.O. Box No P.O. Box ADDRESS \%-\ `7„�LaQ �4 ADDRESS CITYr(1 CITY RESIDENCE PHONE `Ny5-rb�SBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._ t 2.__ 3.__ 4. <_ 5._ 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE. I SPECTORS USE ONLY DATE OF INITIAL INSPECTION £'�P�OO DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �1/p1elD DATE FEE PAID: TYPE OF UNIT: DWELLING /'OTHER_ CHECK#CHECK DATE ��Ia NOTES:_�� yj Cni i tiP / /� oir AegnJ s'.4 LeQz-_7 dl C N M CEMEN INSPECTOR 9/28/98 I 4 j CITY OF SALEM, MASSACHUSETTS F • BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IMANCINI(2SALl3M.COM JANF;P MANCINI. ACTING H FAI,I7-I.AG FNI CERTIFICATE OF FITNESS CERTIFICATE # 103-09 DATE ISSUED: 2/17/2009 Property Located at: 19 Dunlap Street UNIT# 1 Owner/Agent: Maria Loureiro Address: P.O. Box 414 City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: An inspection of yourv avant 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 aETIMANCINI ACTING HEALTH AGENT CODE E FO CEM T SPECTOR CITY OF SALEM, MASSACHUSETTS d OV9 BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE&ALEM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT / DO.0 P 3 -/' UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER /W2117 .4pyk,11 c) MANAGER/AGENT NO P.O. BOX ADDRESS I� O (3 OX y I Ll ADDRESS CITY, STATE,ZIP_ ITY, STATE,ZIP - RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 81f 0 2. 9 3. /3 If (J 4. 5 Kr�� 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 P LE AT TH TIME INSPECTION APPLICANT'S SIGNATURE le �� 160, DATE Z17-6 Inspectors use only Date on initial inspection: 2- 1 '° Date of reinspection: Date of issuance of certificate: V- 2-1 )• 0 9 Date fee paid:_ 2- I)-0 9 Type of unit: Dwelling ✓ Other Check# 12`i t Check date:_ 2. - I -)•o g Notes: /- L,I�, Al�)s Code Enforcement 0pector " CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4141 FLOOR PablicHealth STREET, Prevcm.Promote.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY 1L\MDIN,RS/REHS,C1 10,CV-ISS MAYOR HrAi n-rAG3N'r CERTIFICATE OF FITNESS CERTIFICATE#200-14 DATE ISSUED: 6/11/2014 Property Located at: 19 Dunlap Street UNIT#2 Owner/Agent: Maria Loureiro Address: 19 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 351-20-1759 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 HEALTH AGENT SANITARIAN a'- t , CITY OF SALEM, MASSACHUSETTS �I}' BOARD OF HEALTH �L v����y 120 WASHINGTON STREET,4:`FLOOR r�ublirComman�Pft TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL iramdin@salem.com - LARRY rinrvn>rN,as/ru:Hs,CIIO,c:r-Fs MAYOR HEALI'f-r 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__L%% &d,&4 UNIT# Z IS THIS UN�/�SIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER Wd ; (� , 1/ / MANAGER/AGENT ADDRESS l y //7ll{ s� �� ADDRESS CITY, STATE,ZIP_S._ / CITY, STATE,ZIP t& RESIDENCE PHONE 3SS- , 12 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 IS PAYABLE AT THE T�uA/fE OF INSPECTION APPLICANT'S SIGNATURE G/L�1� i , ir! DATE Lectors use only Date on initial inspection: /I 114 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#__102fLCheck date: 6 Notes: Code E or meat Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4t°FLOOR pI1t111CHe81�1 , Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramai@salem.com L\RRY R WDIN,Rs/Rrrrs,c.Ilo,cn-rs MAYOR HE;\J fFIAGFNT CERTIFICATE OF FITNESS CERTIFICATE#007-14 DATE ISSUED: 1/16/2014 Property Located at: 19 Dunlap Street UNIT#3 Owner/Agent: Maria Loureiro Address: 19 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 339-293-9128 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 llj� LA RAMDIN \� HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I 120 WASHINGTON STREET;4'H FLOOR TEL (078)741-1800 FAX(978)745-0343 KIMBERLEYDRISCOLL kgmdm aletn.com MAYOR LARRY RAMDIN,RS/RENS,CHO,CP-PS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "NIINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $5D0.0�/0 / PROPERTY LOCATED AT1� ��/�a/��p Jul //l�.e��?'� UNIT# IS THIS UNIT DISIIGNA AS RIGHT LEFT FRONT ORA"PLEASE CIRCLE ONE OWNER/LESSER &�1Y r / V L/!GC 1 iW MANAGER/AGENT U�iCP/L NO P.O.BOX ADDRESS /9 fid,.o -0 • ai7WIIl ADDRESS CITY,:STATE,ZIP CITY,STATE,ZIP D 4 7 O RESIDENCE PHONE a!CI',�?/ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. h(V4 n 2 4,0/ 3. 10WX07� 4.L"/ll-c 5z/ jL4�s� 6. 7. 8. 9. 1 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 OF INSPECTION APPLICANT'S SIGNATURF�y//4- DATE /G y� Inspectors use only Date on initial inspection: Date of reinspection Date of issuance of certificate: Date fee paid: Type of unit: Dwelling ✓ Otho Check# O q Check date: /^I Notes: Code Enforcement Inspector gormIT � e WM CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT,MPH, RS,CHO 02/20/2002 120 Washington Street, 4'" Floor HEALTH AGENT Tel: (978) 741-1800 Fax (978) 745-0343 Manuel Raymond 21 Dunlap street #1 Salem, MA 01970 PROPERTY LOCATED AT 21 Dunlap Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted - in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. i Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in 4 which cross-metering has been proven eo exist. I OR THE BOP.RDQ ' HEALTH REPLY TO i , Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CC�e CERT.# 151-01 a FEE $25.00 DATE: 04/02/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 21 Dunlap Street UNIT #: 3 OWNER/'AGENT: Manuel Raymond ADDRESS: 21 Dunlap Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-7971 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 I . 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 I JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i A CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT IJfT S?f UNIT#3— IS THIS UNIT DESIGNATED AS RIGH BEF FRONTBACK PLEASE CIRCLE ONE OWNER/LESSER i``I�+4i et L2c4L ���( MANAGER/AGENT +� No P.O. Box No P.O. Box ADDRESS21D1;`2I0p Q4 / ADDRESS CITY_S /gfyl ,CITY RESIDENCE PHONE /q.�/ `�EI7� BUSINESS PHONE(24 NRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: ll_k_ 2.6116K 3._&(1 4. gjroom 51 roc- 1 6. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE 1S PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE � t . DATE V-1-61 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION T 'c} 1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: --Q LDATE FEE PAID:_1 L TYPE OF UNIT: DWELLING,(�OTHER_ CHECK#,2 ,3 CHECK DATE-� NOTES: -- CODE ENFORCEMENT INSPECTOR 9/28/98 g�CONDIT s � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 03/19/2001 Fax:(978)740-9705 Manuel Raymond 21 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 21 Dunlap Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. OR THE BOARD : HEA TH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR it CERT..# 193-01 FEE $25.00 DATE: 04/25/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS i PROPERTY LOCATED AT: 23 Dunlap Street UNIT #: 1 OWNER/AGENT: Richard & Linda Reeves ADDRESS: 23 Dunlap Street . CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-9947 i i 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. I � FOR THE BOARD 0i' HEALTH - V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I i I �f c 3 =6I CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 �I JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tet:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS (�FOR /HUMAN HABITATION". DUY11C� PROPERTY LOCATED AT L✓ p ✓! UNIT# IS THIS UNIT DESIGNATED AS RIGHT EF ON BACK PLEASE CIRCLE ONE gl nh: � o OWNER/LESSER eellye> MANAGER/AGENT No P.O. Box�� ��}}U /4 No P.O.Box ADDRESS ,.,ll d/ �Jr �/ / —ADDRESS-- CITY ADDRESS— CITY5glen) CITY RESIDENCE PHONE t 7(I 71() 6WY BUSINESS PHONE (24 NRS.) BUSINESS PHONE- TOTAL NUMBER OF ROOMS HONETOTALNUMBEROFROOMS ROOM USE: O�m+�+� 0� 5. . 6 6.-7._& THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE 4 S^O` INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEff_ J k _DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK#-2j b CHECK DATE c 'c} Z NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 K A CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800. Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned,., by my/our absence during said inspection. TENAA LESSF, O' NER/LESSOR ADDRESS ADDRESS 23 ADDRESS OF UNIT TO BE' INSPECTED if !7f ff CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH `2' a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 5/9/05 Stephen Luca 25 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 25 Dunlap 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(h� Board of Health Reply to i Joanne Scott MPH RS CHO Pablo Valdez Health Agent Code Enforcement Inspector �a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 04/04/2001 Fax:(978)740-9705 Thomas Michaud 27 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 27 Dunlap Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance .with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. OR THE BOARD F HEALTH REPLY TO ' Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I it CITY OF SALEM, MASSACHUSETTS .j BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .1 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#428-05 DATE ISSUED: 7/8/05 Property Located at: 30 Dunlap Street UNIT#2 Owner/Agent: Mark & Michael Orgettas Address: 16 old Haswell Park Road City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: 978-479-8319 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 Irv- IF 1 s; fCii Y OF SALEM, MASSACHUSETTS y HOARD OF HEALTH • 120 WASHINGTON STREET,4TH FLOOR SALEM, MA 01970 TEL. 978-741-1600 FAX 976-745-0343 1✓fi STANLEY USOVICZ, JR. ' JOANNE SCOTT, MPH, RS, CH4 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 3 UiN��_ S! _ UNIT 4 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT [SACK PLEASE CIRCLE ONE m �- OWNERiLESSERCAlf t/yl,JC 6C_ rA5_MANAGEWAGENT,__",_ No P.O. Box /� No P.O. Box ADDRESS1�v OL/J 1*5N,Ca /Pe I',O -_._ _ADDRESS__. ._ CITY_ ___C1TY RESIDENCE PHONE 71 BUSINESS PHONE (24 HRS BUSINESS PHONE TOTAL NUMBER OF ROOMS: /� ROOM USE: 1. L,'✓. •'v, 3. _ 1 %7q�^'_4 _ Afl THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURES %6 � �l DATE USE ONLY DATE OF INIIIAI-.._I-NSPF_CTION �a -Y& DATE OF REINSPF-ClIOh1 DATEOf ISSUANC 01 DAT{- Ff'=FPAIU TYPE 01 t)NIT DMIEt_I_i� OTt 1ER GHL"CK •t z SS CI IEC;K Dr'�TE �' a- —oJ LIKI t�itTTi= MI Ni ft;fll 01011 "r.'ttyt CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH '- 120 WASHINGTON STREET,4,t,FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRP FNIi4UYQSA),FM(()��4 DAVID(;RIeUNBAUNI AC'I ING HEAuri i A.G :N'r CERTIFICATE OF FITNESS CERTIFICATE#305-09 DATE ISSUED: 7/9/2009 Property Located at: 31 Dunlap Street UNIT#1 Owner/Agent: Zavier Chickering Address: 48 Pilgram Raod CitylTown: Marblehead, MA Zip Code: 01945 24 Hour Phone: 617-9082155 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOAR OF HEALTH DAVID GRE NBAU = ACTING HEALTH AGENT ENFOR NT INSPECTOR _n CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FA$(978) 745-0343 W. MAYOR,_ ucREENBAUM&ALLM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 3 661N 61,4p � UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER Z4111elf eldl e/Tnpl vG� MANAGER/AGENT ADDRESS L/ ��/P//. /P/J ADDRESS CITY, STATE, ZIP �7 �L�1 r°a� CITY, STATE,ZIP RESIDENCE PHONE / �G �ZQ BUSINESS PHONE (24HRS) �l BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE: 1.1//Yat../ 2. /)//11!/`"I"'( 3. RCC 4. A0 5. 6. Ll L 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 E OF INSPECTION APPLICANT'S SIGNATURE DATE G rs use onl Date on initial inspection: I GLJ I Date of reinspection: Date of issuance of certificate: Date fee paid:_ Type of unit: Dwelling----Other—Check#Check date: Notes: MI J4,pf �Ha'�ftmvt L.0 r A' �l C3-13 "F o ) r c2_ m✓ cW 1e Scetgn fh W*, yolk uvA Imo les. c C nforcement Inspector HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 7450343 Jul 312009 10:30am Last Fax Date Time Type Identification Duration Pages a ult Jul 31 10:29am Sent 919787449614 0:36 2 OK Result: OK - black and white fax CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR nOR8C.N1s,wM(@SnLr.NI.CONI D,\v1D GRFLNB;wMI AC'1'1NG H Ir,\i;1'1-1.AG FNI' Facsimile Transmittal To:\\ Fax # 9 '7q !1114 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 City of Salem, Massachusetts Will -M Board of Health m 120 Washington Street, 4th Floor, Salem, PublicHesl th MA 01970 Prevent.Promote. Prot«t. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-313 DATE ISSUED: 9/19/2017 Property Located at: 31 DUNLAP STREET UNIT#2 Owner/Agent: Zavier Chickering Address: 48 Pilgrim Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 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,4?"FLOOR TEL. (978)741-1800 1C[MBERI.F,Y DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN )SALEM coat LARRY RAMDIN,RS/RRHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANrrARY CODE,CHAPTER 11, 105 CMR 410.000 "MIND 4UM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 3 UItJ��� UNIT# Z IS THIS UNIT DISIGNHATED AS RIGHT LEFP FRONT OR RAC PLEASE CIRCLE ONE OWNERILESSER 2�U! j `��CLim//Je,�-MANAGER/AGENT ADDRESS /c�..� �iM // / ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP l4� RESIDENCE PHONE LP/ 7 id 15S BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: / ROOM USE: 1.1 0 2. RLQ 4.A(/V/.v4 5. G(V(1 6. 7. 8. 9. 10. .J 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 INSPECITON APPLICANT'S SIGNATURE3� DATE iS ectots use onl Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: DwellingOther Check# Check date: +q , Notes: Code Enforcement Inspector nC CERT.# 233-01 FEE $25.00 �... DATE: 05/10/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 31 Dunlap Street UNIT #: 3 OWNER/AGENT: Joseph Perullo ADDRESS: 31 Dunlap Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0540 - 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, THISCERTIFICATEIS 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. � 7 FOR THE BOARD O�TH JOANNE SCOTT, MPH,RS,CHO ((// HEALTH AGENT CODE ENFORCEMENT INSPECTOR ���NIM116 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 Ter.(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 31 L UNIT# 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT BACK PLEASE CIRCLE ONE OWNER/LESSER J {�� ! (/i�t0 MANAGER/AGENT No P.O. Box 31 v (� S N gP.O.Bo ADDRESS p d q7°b- KVCI �j ( ri RESIDENCE PHONE / B SINESS PHONE 24 NRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS _ t ROOM USE: 1, ICA, 2. ' 1 5. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP RTMENT THIS FEE IS PAYABLE AT THE ! TIME OF INSPECTION, APPLICANTS SIGNATURE DATE f)IN—VECTORS USE ONLY DATE OF INITIAL INSPECTION 5'1 D ., 0-' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE'/b 0/ DATE FEE PAID::�-'1 D `" B TYPE OF UNIT: DWELLING/OTHER_ CHECK# O CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/2$/98 y �ONUIT 4 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT 08/02/2000 Tel:(978)741-1800 Fax:(978)740-9705 William Manning c/o Alice Jewett 32 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 31 Dunlap Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit . Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4 :00 p.m. Thursday 8 :00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. A $25 . 00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants ' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FOR THE BOARD REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR ` vg�cor�ntr L 'a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 08/21/2001 120 Washington Street Tel: (978)741-1800 �� Francis & Joseph Perullo Fax: (978)745-0343 - .��- 31 Dunlap Street Salem, MA 01970 ,rffiN ' AI PROPERTY LOCATED AT 31 Dunlap Street UNIT # 3 0 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. .- 7 :00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. F R�ARD/ REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR �ND� City of Salem, Massachusetts r � Board of Health 120 Washington Street, 4th Floor, Salem, 0 PlubliCHealth MA 01970 Prevent.Promote. Pruett. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-398 DATE ISSUED: 10/20/2016 Property Located at: 34 DUNLAP STREET UNIT#1 Owner/Agent: Jacqueline Wilkins Address: 34 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)979-6382 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. Jeffrey Barosy Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS e BOARD OF HEAL'E'R 120 WASHINGTON STREET,4O1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOI.L FAx(978) 745-0343 MAYOR LRAMDIN@$ALEM.COM LARRY RAMD]N,RS/RF.HS,CHO,CP-FS HEALTHAGENT D 0 je aAs �j CJ vN L4%7� Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINVVIUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 9 LL b_0 k-P 31 UNITIt ,L IS THIS IINfr DISIGNATED ASkIGHTLEYrFRoNTORBACK.PLEASE CIRCLE ONE OWNER/LESSER ,1[tiev__,.u,\�_ns MANAGER/AGENT NO P.O.BOX 1 ADDRESS�L_ / Il_� .q\c� f-NA ADDRESS CITY, STATE,ZIP , CITY,STATE, ZIPS 1 q ') n RESIDENCE PHONE �C X11 01 (9 :k,7_BUSMSS PHONE(2.4HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS ,/- ROOMUSE: 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 TILE TIME OF INSPECTION APPLICANT'S SIGNAATE)O J 7 } r/ Inspectors use only Date on initial inspection: lk)�2/ � Date of reinspection: Date of issuance of certificate Date fee paid: 2Q/T Z 2,ag Type of unit: Dwelling Other G ek#23 � •� heck date: Notes: a ( 6-3qg C e / ement Ins, ctor CITY OF SALEM, MASSACHUSETTS 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# 146-05 DATE ISSUED: 3/2/05 Property Located at: 34 Dunlap Street UNIT#2 Owner/Agent: Ginevra Riggi Address: 34 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-3072 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 f � ANT MPH RS CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �n,t nwia s CITY OF SALEMt.MRS3 SACHVSE TS BOARD OF HEALTH , 120 WASHINGTON STREET. 4TH FLOOR 1 SALEM, MA 01970 TEL. 976-741-1800 FAX 976-745.0343 / 0.t) }(✓�) STANLEY USOVICZ, JR. f JOANNE SCOTT, MPH, R5, CH0 _ MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER I4, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" PROPERTY LOCATED AT 3 %/ jy� � `� UNIT H� IS PHIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER MANAGERTAGENT_- No P.O. Box _�Jp_P.0.Box ADDRESS l ADDRESS CITY rJ �CITY RESIDENCE PHONE jj_W %7 U^INESS PHONE (24 HRS.).__ BUSINESS PHONE_ TOTAL NUMBER OF ROOMS. ROOM USE: t... ... _.—_. 2 _3 --.— K 5-------6-----7. ----- -- --S ------ THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEL'- IS PAYABLE AT THE TIME OF INSPECTION. f / APPLICANTS SIGNATUR.��.�✓ till` DAT17� f �J iN SPECT ORS U!A- ONLY DATE Of-, INR IAI INSPECTION 3 HATI= 01` RI:INSM Cl ION ()All OI13;lMANC; 0i CI I;lll It'All �� r -IY!';- OrIlNll I)VdlIl !IvI( ()fill.R rill! r:r: ( InCH'. f)AII Ip �1 ! . rl l Iii is 1. 1 i.'.; 'll II; ,1 'i df f?a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4...FLOOR PllblicHea ith TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL h-amdin@saleni.com LARRY ILVMDIN,1LS/lt1.a-1'S,0-10,CP-FS MAYOR HEAL:PI:1 AGFGNI' CERTIFICATE OF FITNESS CERTIFICATE #123-12 DATE ISSUED: 3/28/2012 Property Located at: 36 Dunlap Street UNIT#2 Owner/Agent: Frances Schrader Address: 36 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4209 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 W' 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 LARRYJKAMDIN � HEALTH AGENT SANITARIAN i CITY OF SALEM, MASSACHUSET"T"S BOARD OF HEAUIT-I 12:0 WASHINGTON SI'R F_-'1',4O'FLOOR ✓�� 'rim. (978) 741-1800 KIMI3ERLE:Y DRISCOId. F:u.Y(978) 745-0343 MAYOR I,RAM1)1NQAI.r:N1.00N1 LARRY RAMDIN, R,S/RF118,ca IQ,C:P-P'S H f iA I XI i AcENT 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 3\o SI UNIT# Z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER�M 4 NC R S Sr" "1a.1) P n MANAGER/AGENT NO P.O. BOX f ADDRESS . h t ( W 1 P,p St ADDRESS CITY, STATE,ZIP S_P l� m ��J$VITY, STATE,ZIP RESIDENCE PHONE`]fC'-7 144—I—r_�,15� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:—E ROOM USE: I TC _,_ '2. ITh 3. RR.Z 4. P -0 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIMI;OF INSPECTION ISAPPLICANT'S SIGNATURE 1� Q}z� �ir�LQ�i DATE$ 0) Inspectors use only Date on initial inspection: �' 2� ' 1�— Date of reinspection: Date of issuance of certificate: - 2�' 1 Date fee paid: L 12 Type of unit: Dwelling✓_ Other Check# Check date: Notes: dode Enforcement Inspector v CERT.# 719-99 3 ro. FEE '$25.00 /• DATE: 12/02/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 36 Dunlap Street UNIT #: 3 OWNER/AGENT: Frances Schrader - -- ADDRESS: 36 Dunlap Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4209 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTHANDTHE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . -SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH q- , - JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i9 -9l a INK CITY CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3 6 : U Q AP S' UNIT #3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERR%dceS SC��',$�eQ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS »N LIQ !T ADDRESS CITY �_ 21�f mRCITY RESIDENCE PHONEI 09 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.V 2.L V'I144 3.��Q4.�'Z 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE fd��SC�I —DATE I t —99 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /,� — Z— �L`�DATE OF REINSPECTION DATE OF ISSUANCE OF CER/TIIFICATE/,2, —.2 DATE FEE PAID:�,� TYPE OF UNIT: DWELLING OTHER_ CHECK# 8 / d CHECK DATE NOTES: 1 CODE ENFORCEMENT INSPECTOR 9/28/98 } CITY OF SALEM, MASSACHUSET'T'S QD BOARD OF HEALTH 120 WASHINGTON STREET,4"�FLOOR TEL. (978)741-1800 KINIBERI EY DRISCOLL FAx(978)745-0343 MAYOR ISCO t;Cl>7S,iLEM.Com JOANNE SCOTT, HEALTH.AGENT CERTIFICATE OF FITNESS CERTIFICATE#326-08 DATE ISSUED: 7/22/2008 Property Located at: 39 Dunlap Street UNIT#1 Owner/Agent: Deborah Bakaletz Address: 39 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0707 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 qANNIIXESCO , MPH, RS, CHO HEALTH AGENT C E ENFORCEMENT INSPECTOR V6 CITY OF SALEM, MASSACHUSETTS u BOA RDol'H] vrrf IZO WASHIN<;"IY)NStRIsl:;i' 4"`FU7pR Tvj- (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR sc c;rr i)snt,ra.CONI JOANNE SCOTP, HFAVi'f-t A(;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: $'t'ft(f) 6r&l 1 PROPERTY LOCATED AT � la n rw St :gzyam � � f k UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER,® bJ LcL- (<G eA-2.. MANAGER/AGENT NO P.O.BOX { ADDRESS 3' &KO ADDRESS CITY,STATE,ZIP, P rrlr � Q ( �L 1 6 CITY, STATE, ZIP RESIDENCE PHONE jk-j6/ 0 2 d-? BUSINESS PHONE(24HRS) B> S TOTAL NUMBER OF ROOMS: ROOM USE: 1 -2. ,, 3. 4. 5. 6 7 (j�- 7 9. 10 JI? THERE IS A SEVENTY-FI VE($45-)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF IN ECTION APPLICANT'S SIGNATURE "- DATE �)�'+ Inspectors use only Date on initial inspection:--�'-t'�T� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling`_Other Check# Check date: Note —t I /D / Lh 61cwt Aw- 3 C rcement Inspector IF N � CI"I'I' OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR Pli �iCHea Ith PrcveN.Pmmatt.Protect. TEL. (978) 741-1804 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin(a�salem.com - LARRY Rr1MDIN,RS f IiE795,CMO,C.V-FS MAYOR f IF AI;I'II AG[:Nr CERTIFICATE OF FITNESS CERTIFICATE#272-13 DATE ISSUED: 8/1/2013 Property Located at: 39 Dunlap Street UNIT#2 Owner/Agent: Deborah Bakaletz Address: 39 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0707 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. nFOR THE BOD OFttAI.TH LARRY RAMC DIN HEALTH AGENT SANIT IAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PabUcHealth > Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com - MAYOR LARRY RAMI�IN,ILS/REA1-I S,CO3 HEALTH AGSNr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 {`MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" `yam FEE: $50.00 PROPERTY LOCATED AT � {J� n I fele 5 f , 5��elwz jW A UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER`I�e6poi,h MANAGER/AGENT NO P.O.BOX p ADDRESS �< b LZ M j4.4 S t ADDRESS CrfY, STATE,MP Sjej-PVL CITY, STATE,ZIP 1'yl- O L RESIDENCE PHONE'5�'L?-b t 2'.O� O F- BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: h�V ROOM USE: l.fp7✓-L4 2. D 3t, rt-C44 4. 3 6,4 ,4 45. 6. 7. B. 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 PAYA4E AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE / r� Inspectors use only Date on initial inspection: �� I J Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#—Check date: Notes: i Code orcernLt Inspector R CITY OF SALEM, MASSACHUSETTS • > BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNF,/ tU.EM.COM JANET DIONNE ACTING HEtu Tl-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #492-08 - -" DATE ISSUED: 9/25/2008 Property Located at: 39 Dunlap Street UNIT#3 Owner/Agent: Deborah Bakaletz Address: 39 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0707 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. FORTHE BO OF HEALTH JAN T ION ACTING HEALTH AGENT C ENFORCE T INSPECTOR CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE e SALFM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." r� FEE: $50.00 T PROPERTY LOCATED AT '(1 UNIT# 1• IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERjVbnr" Be 6,5:j t—Z MANAGER/AGENT NO P.O. BOX ADDRESS 30, kIS� rL k E ADDRESS CITY, STATE,ZIP 54-1-eip7i P-A dA CITY, STATE,ZIP RESIDENCE PHONE �y�(� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. (4 7. 8. 9. 10. THERE IS A I=($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 Q = DATE 5 Inspectors use only Date on initial inspection: �aJ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit Dwelling Other - Check#7n Check date: `) Notes: r CoLdWnforiement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR - e _ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/06/2002 Paul & Laura Sampson 11 Ingersoll Street Danvers, MA 01923 PROPERTY LOCATED AT 49 Dunlap Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address . In accordance with Chapter 11, Article XIII of the City of Salem Code of 'Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule. an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist . THE BOARD O HE, H REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR t.. CERT.# 816-97 3 a FEE 25.00 1 �FA DATE: 12/04/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 53 Dunlap Street UNIT #: 1 OWNER/AGENT: Steven Evans ADDRESS: 55 Dunlap Street - CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5535 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 & YEARS OF AGE. y FOR THE BOARD OF HEALTH / JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR S > v CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,AS,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, )05 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".. ++ PROPERTY LOCATED AT lap j ( ►reU UNIT # 1 OWNER/LESSER � QyQ{i{ r��Pf�(S MANAGER/AGENT ADDRESS 5 �(�(,�/j � Q (� ((�, ADDRESS CITY Sol em t"L t� (l / � 7 U CITY SQ t� -RESIDENCE PHONE �"I aJs3s ' BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: J ROOM USE: 1. /� 2. 3. 4 . 5._47 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMEF THIS FEE IS PAYABLE AT THE TIME OF INSPECTION cool APPLICANTS SIGNATURE DATE�"c� � ,Y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 7 DATE OF REINSPECTION ^__ DATE OF ISSUANCE OF CERTIFICATE:4g, := DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: i . a CODE ENFORCEMENT INSPECTOR _3✓ PIPS CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 11/18/97 Fax:(508)740-9705 Steven & Luzia Evans 55 Dunlap Street Salem, MA 01970 PROPERTY LOCATED AT 53 Dunlap Street - UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. "' -There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR w CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE Scor-r, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 109-06 DATE ISSUED: 3/9/06 Property Located at: 65 Dunlap Street UNIT# 1 Owner/Agent: Ansony Avila Address: 65 Dunlap Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 828-6013 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 JOAJE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR .�n F � + +�n.,:•-75.:.5;�5�'�,rr'?t' h'. nra�.�ry.t? ad. JJ .':.a !'._ ... .: ... . ._a•_ e r _- .. • ! '�1 °Crryr OF SAtEM,tMAISS,ACHUSEiTS • ^�y BOARD OF HEALTH • 120 WASHINGTON STREET.4TH FLOOR SALEM, MA 01970 TEL. 976-741-1800 FAX 978-745.0543 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT l )t)� ��f tS ! UNIT # IS THIS UNIT DESIGflflg5c�n NATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER2ESSER_A _ `tt 10, MANAGER/AGENT _ No P.O. Box / r No P.O.Box ADDRESS E� bit) is p 4t ADDRESS_ CITY S 0 ey""A CITY _ RESIDENCE PHONE q)_&-�53(,-073�USINESS PHONE (24 HRS.)��-7-V-03'�'r4 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. _1VL ckcl2. '61nin _3. IC­6!69rn4.1!!�100r�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. APPLICANTS SIGNATURELj� _� DATE-3/ INSPECTORS INSPECTORS USE ONLY DATE OF INITIAL INSPECTION_ DATE OF OF REINSPECTION. DATE OF ISSUANCE OF CERTIFICATE`3 '_( Cl�' DATE FLF PAID TYPE OF UNIT DWELLIN ' OTHER CHECK k 7111 CHECK DATE 3 _UC 9� NOTFS it CODE ENFORCEMI_N I INSPECTOR (3/28/98 • • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON SPREET,4""FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IMANCIN12SALI*M COM JANE I'MANCINI Ac'rINC Hi:;Ala-1 AG f?NC CERTIFICATE OF FITNESS CERTIFICATE #129-09 DATE ISSUED: 3/10/2009 Property Located at: 67-69 Dunlap Street UNIT# 1 Owner/Agent: Linda J. Moustakis Address: 2 Bentley 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 J T MANCINI ING HEALTH AGENT CODEE OR EMEN INSPECTOR I� CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE&AI.HM.CONI JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." h/ FEE: $50.00 PROPERTY LOCATED AT 67 '-49 ,&2211-7j, ts'p'. �!Olc -n /yA UNIT# / Sdo �), /�dtlS�A IS THIS UNIT DISIGNATEDAS RIGU LEFT FRONT OR BACK PLEASE CIRCLE ONE W ONER/LESSER Or/i7ei s MANAGER/AGENT NO P.O. BOX p/ ADDRESS a� ✓Jfvu \ ADDRESS CITY, STATE,ZIP Af Yh Ai !1/G7d CITY, STATE,ZIP RESIDENCE PHONE_ 07f 756_ i /A r BUSINESS PHONE (24HRS) //� BUSINESS PHONE Cf 11 -42.(�` a3 179D TOTAL NUMBER OF ROOMS: l L ROOM USE: 1. i JCkV 2. hj), RJ .. 3. 4. fdvvdrn S. CJEC✓�2c0rrl 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 oeimd��LL �� DATE Inspectors use only Date on initial inspection: 1 _ 1(3 _1z)9 Date of reinspection: Date of issuance of certificate: 1 w-oS Date fee paid: I- YF 0' Type of unit: Dwelling �Other Check# _.b q%' Check date: 3- )01,0 S Notes: Awk ode Enforcement Ins ctor �., CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ( .z 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 104-06 DATE ISSUED: 3/8/06 Property Located at: 69 Dunlap Street UNIT#2 Owner/Agent: Linda Mouskakis Address: 2 Bentley 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 JOANNE SCOTT, MPH, RS, CHO � HEALTH AGENT CODE ENFORCEMENT INSPECTOR ti CITY OF SALEM, MASSACHUSETTS / BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 L/ Illfff 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 � UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER111011,? l B aAQkle MANAGERfAG€N`F NG4LO:Box p' Ne P.O.Bex- ADDRESS CT j, ADDRESS CITY —CITY—/-//9 O / 970 RESIDENCE PHONE I7F 7S,�_ d/13 5 B {A}ESsPH6NE(24 FFRS.) BdKhNE33-PaO1d€ TOTAL NUMBER OF ROOMS: ROOM USE:USE: 1 `` Yc M 2.CVI , 'Y' / 3.1,0, P)n. 4. ✓le06-> � 5�takAe��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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3 - -7- _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 3 (2 L DATE FEE PAID: ? F_ TYPE OF UNIT: DWELLING�LOTHER_ CHECK# CHECK DATE ? NOTES: x\ CODE ENFORCEMENT INSPECTOR 9/28/98