EMERTON STREET co CITY OF SALEM, MASSACHUSETTS
vQ' '� 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
05/15/2002
Ann & Taimi Leszczynski
21 Emerton Street
Salem, MA 01970
PROPERTY LOCATED AT 2 Emerton Street UNIT #
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 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.
R THE BOARD0� 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
SALEM, MA 01970
TEL. 978-741-1 800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
4/27/05
Adrian Bathhurst
13 Emerton Street
Salem, MA 01970
PROPERTY LOCATED AT 13 Emerton 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 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the
-�Scoft MPBoard
,�off Health Reply to
'fid H,RHO Pablo Valdez
H alth Agent Code Enforcement Inspector
CITY OF SALEM9 MASSACHUSETTS
v3! BOARD OF HEALTH
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
CERTIFICATE OF FITNESS
CERTIFICATE#283-05
DATE ISSUED: 5/4/05
Property Located at: 13 Emerton Street UNIT# 1
Owner/Agent: Adrian Bathhurst
Address: 13 Emerton Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-799-6252
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
<— rte— s..}}��__ff . �
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
�-9
1�
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
V
,4D
• 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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ,� �Ar() ' t_&'1I • UNIT#-L
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER �QA1'YRf an &—AANAGER/AGENT G V(1e-
No P.O. Box No P.O. Box
ADDRESS A9D fjllff'Z,O �� • ADDRESS
CITY �AIZM MA Q,"1
// 10 CITY M-
RESIDENCE PHONEglP-1 -5'5�61!BUSINESS PHONE (24 HRS.) (�I� 79q (pLSZ
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: Ak (h r
ROOM USE: 1.._�e_2.be 3._Lkhefl4. UV.I
5. 11Jl 06. 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 V _DATE
INSPECTORS USE ONLY
i
DATE OF INITIAL INSPECTIONS " 3 'O DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE '3 w DATE FEE PAID: S -3 -::-C)
TYPE OF UNIT: DWELLING" OTHER_ CHECK #`9 �l CHECK DATE S- 3 0 �J
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
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CITY OF SALEM, MASSACHUSETTS
' a
� BOARD OF HEALTH
3 • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
RELEASE
In accordance with Massachusetts General Laws Chapter III ; 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 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 less or injury sustained of whatever nature and description occasioned
by my/our absence during said 1- necti.on.
TFIN' /LESSEE MWIFI /iIESSOR
01
NY
ADDRESS --- ----------- - ADDRE'SS------ ----------
77�O
ADDRESS OF UNIT TO BE INSPECTED
-11
U0�00114,,j CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR CERT.# 7-02
SALEM, MA 01970 FEE $25.00
TEL. 978-741-1800 DATE: 01/04/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 13 Emerton Street UNIT #: 2
OWNER/AGENT: Ed McGlynn
ADDRESS: 47 Pilgrim Road
CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 639-1437
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
JOAN14E SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
e � +� BOARD OF HEALTH
o e 120 WASHINGTON STREET, 4TH FLOOR
J
SALEM, MA 01974 J
TEL. 978-74 1-1800
- FAX 978-745-4343
STANLEY USOVIC2, JR. JOANNE SCOTT, MPH, RS, CHO - -
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FIT7NESSS' FOR HUMAN HABITATION".
PROPERTY LOCATED AT�L/ �.t � (�__" —UNIT#�Z
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER�1l yc1 (/tl �1 MANAGER/AGENT-
No P.O. Box -� No P.O. Box
ADDRESS 47 6 ADDRESS_
CITY10D ITY �
RESIDENCE PHONE V( G3q f BUSINESS PHONE (24 HRS.)
BUSINESS PHONE �*-7W- RJV
TOTAL NUMBER OF�RfO :
�OMS
ROOM USE: 1. rani 24 3. glelvf 4. v /cj�
moi'
5.__6._T_,_8-_
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH Q PARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE _ DATE,7e
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION�- l��sr DATE OF REINSPECTION
Ii
DATE OF ISSUANCE OF CERTIFICATE' 7 D DATE FEE PAID: . d 2
TYPE OF UNIT: DWELLING OTHER_ CHECK 4—L
_Z3 DATE
NOTES: / --
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
ryrtYq SALEM, MA 01970
AqQ, TEL. 978-741-1800
' FAX 978-745-0343
STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
June 12, 2003
Ann Leszcynski
21 Emerton Street
Salem, MA 01970
PROPERTY LOCATED 21 Emerton 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
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
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
r
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 °+ 120 WASHINGTON STREET, 4TH FLOOR
<
� - SALEM, MA 01970 CERT.# 339-02
TEL. 978-741-1800 FEE $25.00
�O�MHe FAX 978-745-0343 DATE: 07/05/2002
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 21 Emerton Street UNIT #: 2nd floor
OWNER/AGENT: Ann Leszczynski
ADDRESS: 21 Emerton Street 1st floor
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0586
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
/ flflfl///
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i`
r
o CITY OF SALEM, MASSACHUSETTS 33
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 a� �/n� �6� UNIT#_aC�
IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT BAC PLEASE CIRCLE ONE -7kD FIAO l�
OWNER/LESSER &VN E57,02,1/1MANAGER/AGENT
No P.O. Box 1-� No P.O. Box
ADDRESSd/ gIl7eg-6 • 014,0.2 ADDRESS
CITY CITY
RESIDENCE PHONIA �II�//yAA ��6 BUSINESS PHONE (24 HRS.) y4
BUSINESS PHONE___lv�_
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.
5. /_ 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. r_ / )
APPLICANTS SIGNATUR �. K � —DATE
i
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:7'3 'O " DATE FEE PAID: S�L
TYPE OF UNIT: DWELLING OTHER_ CHECK#d2 7 6 / CHECK DATE z.
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98