EAST COLLINS STREET .ca CITY OF SALEM, MASSACHUSETTS
.j� BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR CERT.# 309-03
SALEM, MA 01970 FEE $25 .00
qq TEL. 978-741-1800 DATE: 07/03/2003
Q FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 5 East Collins Street UNIT #: 1
OWNER/AGENT: Mary E. Knight
ADDRESS: 5 East Collins Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-1002
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
ll/ JOANNE SCOTT, MPH,RS,CHO ?i�� ..
HEALTH AGENT CO E ORCEMENT NSPECTOR
/l CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT SCJ' Le�(" rS S>' UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER Z%yey z C &2-..MANAGER/AGENT
No P.O. Box o P.O. Box
ADDRESS S _674..f7- a4z. ter 5 ADDRESS
#a
CITY S/Jla c *4 ai97a CITY
RESIDENCE PHONE O - /'a.2 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:__
ROOM USE: 1. 2._ I..f' 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 SIGNATUR&----- % (a . DATE G
INSPECT ORS USE ONLY
DATE OF INITIAL INSPECTION 9/3 /10 ? DATE OF REINSPECTIONd/?
DATE OF ISSUANCE OF CERTIFICATE: 7,3/e1 DATE FEE PAID: �3�3
TYPE OF UNIT: DWELLING V OTHER_ CHECK #_ Z?Zj CHECK DATE 71? 3
NOTES--
CODF EWMCEMENT IN ECTOR 9/28/98
` CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR 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 author—
ized agents to inspect the residence identified below in accordance with the
aforementioned statutes, regulations and ordinances.
In the event it is necessary Chat 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.
OWNER/LESCO
R
ADDRESS �— ADDRESS —�
S C. �llinS 5t
ADDRESS OF UNIT TO BE INSPECTED
DATE
evg�ckiwi.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
Date: 01/14/99 Fax:(978)740-9705
Debra Lyons c/o Debra Bouchard
328 Jefferson Avenue
Salem, MA 01970
PROPERTY LOCATED AT 5 Bast Collins Street UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8 :00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8 :00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness .
A $25 .00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY.
Very truly yours,
4THE BOARD OF HEALTH REPLY TO
���/
nne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
ti
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
May 6, 2003
Tracy Byores
10 East Collins Street
Salem, MA 01970
PROPERTY LOCATED AT 10 East Collins Street
It has come to our attention, that you may be considering renting a dwelling unit at the above
address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,
Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified
prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to
schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.
—4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m.—4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for
every day that the dwelling unit is occupied without a Certificate of Fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
Ci
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
�- dfpNDi City of Salem, Massachusetts
Board of Health
fte,ent
120 Washington Street, 4th Floor, Salem, PabbTCHealth
MA 01970 Demote. fto««.
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-17-338
DATE ISSUED: 10/10/2017
Property Located at: 11-11 1/2 EAST COLLINS STREET UNIT#Left
Owner/Agent: George &Barbara Leone
Address: 15 Opal Avenue
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(978) 236-8936
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 unde ears of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIA
CM OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREhT,4"'FLOOR
TEL(978)741-1800
I(IMBERLEY DRISCOLL FAX(978)745-0343
MAYOR LRAMDJNo ALEM.C(M
LARRY RAMDIN,RS/RFIA CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WrrH STATE SANrrARY CODE, CHAPTER 11, 105 CMR 410.000
"mDumUM STANDARDS OF FITNESS FOR HUMAN HABTTATION"
/
FEE: $50.00 ��'
PROPERTY LOCATED AT / S TC`�( I t /V� t: \ UN1T#
75 THIS UNIT DISIGN4TE6 As RIGHT LEFT FRONT ORBACK PLEASE CIRCLE ONE
OWNER/f msSS <�ip i,&J ab a a— e—,-)� MAGER/AGENT
NO P.O.BOR
ADDRES RQ f ADDRESS
CITY,STATE,map P�eCITY,STATE,ZIP-ma-0-1
RESIDENCE PHONLq 7k 2�/LO-� Q*S I BUSINESS PHONE(24HRS)27a ) lb -� b F
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4.
6. 7. 8. 9.
THERE IS A FIFPY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE,T,I�M�JE OF PECTION
APPLICANT'S SIGNATURE _ _" U Y V I n IC�SC DATE��
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwel ing Other Check# Cteck date:
Notes:
Code Enforcement Inspector
OONDi'��,o
City of Salem, Massachusetts
q Board of Health
120 Washington Street, 4th Floor, Salem, PlublicHea Ill
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-16-273
DATE ISSUED: 7/29/2016
Property Located at: 11.5 EAST COLLINS STREET UNIT#
Owner/Agent: George &Barbara Leone
Address: 15 Opal Avenue
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(978) 236-8936
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.
a &Je
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON S'mrr-r,4"FLOOR
TFL. (978) 741-1800
KIIvfBERLEY DRISCOLL FAx()78) 745-0343
MAYOR LILMIMIN@SALF-M.COM
LARRY RAMDIN,RS/RF.,HS,CHO,CP-FS
HEALTI-1 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 t UNIT#
IS THI UNI DI IG ATED AS RIGHT L FRONT OR BACK,PLEA§E CIRCLE ONE
OWNE ESSE �b� G ��( MANAGER/, CANT
c
ADDRESS V 211// ADDRESS
CITY, STATE,zI� ? Vim�'//`0 CITY, STATE,ZIP
RESIDENCE PHONEp� ��1 �- (J ','Ua BUSINESS PHONE(24HR��04 P
BUSINESS PHONE] ^�d d� J�� 2-7 (y-
TOTAL NUMBER ORIR- OOMS: 5
1\z �k-p-v i`�
ROOM USE: Pte_.,i l 2/,�<M,9 31,zri 9Ljzz f. 43,e �-Iow
J;;A3i 7 8. 9. 1 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THaFEE IS P} YABLE AT THE TIME INSPECTION
APPLICANT'S SIGNATUR C7t G, // D DATE
S�
Inspectors use only \
Date on initial inspection: O 2_�/�x� Date of reinspection:
Date of issuance of certificate:07� Z0� (_ Date fee paid: 0ZL2-W2-0Z
Type of unit: Dwelling Other Check#__Check date: nxa:2f
Notes: Uo [ w
de f9 cement Spector
o
CITY OF SALEM ygosp%
BOARD OF HEALTH RECEIVED
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MASSACHUSETTS 01970-3523 $ 00-390
o 390
000
'OCT 3 12000 02 '"
4360921 OCT 20 2006
CITY OF SAlFA4 MAILED FROM ZIP CODE 019 70
.
BOARD OF ri EjA,.H
George & Barbara Leone
11 /12 East Collins Street
Salem, MA 01970
NIXIE 01 1 39 10i2S/06
RETURN TO SENDER
NOT DELIVERABLE AS ADDRESSED
UNABLE TO FORWARD
BC: 01970352399 *1969-10705-20-39
r"Is 4tA:;76~ ;'23 III fil I I JII l) ,LI I h,II I I Li„ JJI
r 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#402-06
DATE ISSUED:8/16/2006
Property Located at: 12 East Collins Street UNIT#2
Owner/Agent: Jessie Bencusine
Address: 12 East Collins Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-932-0001
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.
FO HE BOARD OF H ALTH
i�
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
FAX 975-745-0343
.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,H}))A)))BITATION". i
PROPERTY LOCATED AT 12 _Ly Gl .-- _UNIT # f
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER_aL. Sie _ t&nr'V1n2 MANAGER/AGEN1
No P.O. Box No P.O.Box
ADDRESS 12 !?. i"b t I nS� IADDRESS
----
RESIDENCE PHONE
_L� S 225-&1c1fC__BUSINESS PHONE (24 FIRS). -Ck)Ot
BUSINESS PHONE____ -7 -
TOTAL NUMBER OF ROOMS:
ROOM USE: i.. ±Lhen
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__e11j11UG._—
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION P'l.12 �' . _ PATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE' 4 DATE FEE PAID:_,L_." _ 1 e
TYPE OF UNIT. DWELLIN ^ OTHER _ CHECK dt `' CHECK DATE `V—c 6
NOTES:
CODE ENFORCEMENT INSPECTOR 9128/638