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ENDICOTT STREET r r CITY OF SALEM. MASSACHUSETTS BOARD OF FIEALTH -- 120 WASHINGTON STREET,4"FLOOR 'IEL. (978) 741-1800 KIMBERL EY DRISCOLL FAt(978) 745-0343 MAYOR DGRl36:N13AUM((2SAI.6F COM DA\'Ill GiuLFNIMLJM Ac LINO I-IISAI:im AGI-NI' CERTIFICATE OF FITNESS CERTIFICATE #322-09 DATE ISSUED: 7/20/2009 Property Located at: 35 Endicott Street UNIT#2 Owner/Agent: Jeannine Camarda Address: 143 Tedesco Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-8487 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. F� BO D OF HEALTH DAVID GRE BAU i ACTING HEALTH AG NT COD ENF CEMENT INSPECTOR Conditions: This certificate valid on condition that the landlord receives letter of compliance from childhood Lead Poisoning Prevention Program CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°"FLOOR TF-L. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ISCOT12SALEM.COM JOANNE SCOTT, 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 LOC&cpuD AT S�S- Eq o�,(-n <St UNIT#--a IS THIS UNIT DISIGrtV AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE r OWNER/LESSER C nAAA�NAGER/AGENT ADDRESSBOX a�k �Q J 1 ADDRESS CITY, STATE,ZIP o�c � CITY, STATE, ZIP RESIDENCE PHONE I ' BUSINESSnPH�OpNE fI24HRS) BUSINESS PH TOTAL NUMBER OF ROOMS:— ROOM USE: 1. — t 2. LW 3. bkV4 4. 5. USC-0 6 7. 9. 10. THERE IS A FIFTY($50)D LAR F E,PAYABLE BY CK OR M ORDER TO THE CITY OF SALEM BOARD OF HEALTH S FEE IS AYABLE Ad THE T E OF EC ON APPLICANT'S SIGNA DATE_) 9 rInspectors use only Date on initial inspection: / Date of reinspectio —� Date of issuance of certificate: d 0�G Date fee paid: a�a Type of unit: Dwelling Other Check# ao Check date: 71A 06 Notes: k(c WL in I tC bai ,J'P/, cvg-kc( - wd i �r -R)<P0( Code Enforcement pector c +� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH c = :9 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 qq TEL. 978-741-1800 a FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT November 7, 2003 Janet Doucette 336 Essex Street Salem, MA 01970 PROPERTY LOCATED 36 Endicott Street Unit#2 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 ofHealt� 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 s, ✓� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 7/25/05 Janet Doucette 336 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 36 Endicott Street Unit 3R 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. yf H4,ttf _ Reply to (Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector i cON11 City of Salem, Massachusetts Board of Health A 120 Washington Street, 4th Floor, Salem, Pt7blia8ealth , PrcvMt. Promote.Protect. MA 01970 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-17-169 DATE ISSUED: 6/15/2017 Property Located at: 37 ENDICOTT STREET UNIT#2 Owner/Agent: Paul +Joan Pizzello Address: 37 Endicott Street City/Town: Salem, Ma Zip Code: 01970 24 Hour Phone:(978) 7447803 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 KIMBF,RLFY DRISCOLL FAX(978)745-0343 MAYOR LRAMDrN@SALEM.COM LARRY RAMO N,RS/RF.HS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE:: $50.00 PROPERTY LOCATED ATY / 15 Al Z71 5--)T rT UNIT# IS THIS UW DISIGNATED AS RIGHT LEFT FRONT OR It PLEASE CIRCLE ONE OWNER/LESSERZZ: G 4�9 MANAGER/AGENT NO P.O.BOX ADDRESS Cif-/y��/ �o T c T ADDRESS CITY,STATE,ZIP ) L /Y, Q2 S 70 CITY,STATE,23PRESIDENCE PHONE�iJ 7` ' �0 � ?BUSINESS PHONE(24HRS)��Jn�_ BUSINESS PHONE TOTAL NUMBER OF ROOMS: p ROOM USE: 1.k; -rl( 2.8 6J R 3.13En k 4.G GV �. 5.`))N Q� 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE /J Inspectors use only Date on initial inspection: I OJ Date of reinspection; i Date of issuance of certificate: Date fee paid' Type of unit: Dwelling Other Check# Check date: 10 Notes: Code Enforcemen Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH . 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 K NMERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRPENBAUMQSAI.EM COM DAVID Giu."P';NBAUM ACTING HEAunI AGI N'r CERTIFICATE OF FITNESS CERTIFICATE#383-10 DATE ISSUED: 8/11/2010 Property Located at: 37 Endicott Street UNIT#3 Owner/Agent: Paul &Joan Pizzello Address: 37 Endicott 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 /1THE iBO/3RD OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CO ENFORCE T INSPECTOR • • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WIASHINGTON STREET,4..FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGKITNIMUM&MEM.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 2 7 Fy D/ GQ z`r S/ Ul IIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER P/QU L F / 2- Z r 0 MANAGER/AGENT NOPO BOX ADDRESS .J 7 )e / c- 0 TT ADDRESS CITY, STATE,ZIPp !L�JE/� CITY, STATE,ZIP RESIDENCE PHONE 2/1 2(1p O ? BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 14 ! f/l NG 2.&jTG/�j n/3. !'6) goow 4.RC/),LOoAt 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�E �/1/�/(OJ� r� DATE Inspectors use only Date on initial inspection: I I 'I� Date of reinspection: Date of issuance of certificate: Date fee paid: $ J Type of unit: Dwelling Other Check#_ Check date: U Notes: C e forcement Inspector CERT.# 165-01 a FEE $25.00 DATE: 04/05/2001 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: 39 Endicott Street UNIT #: 1 OWNER/AGENT: Stephen C. Ingemi ADDRESS: 36 Margin Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4220 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 CODE ENFORCEMENT INSPECTOR J., �o i /6:0/ ' n �/MIN6 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 f-A L 0 , S-" UNITIt t IS THIS UNIT DESIGNATED AS RIGHT LEFT FROM BACK PLEASE CIRCLE ONE OWNER/LESSER gukt71 .IM,G MANAGER/AGENT No P.O. Box I No P.O. Box ADDRESS DCIV ADDRESS CITY a 4)) CITY p RESIDENCE PHONE ''qq " b p aq I BUSINESS PHONE (24 HRS.) y v BUSINESS PHONE qqq-qA" TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. �� , 2U. 0"__ s. 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. 19 APPLICANTS SIGNATURE i / 4z-,�, DATE //0 / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: - 5—O TYPE OF UNIT: DWELLI�eTHER_ CHECK# 7 y 3 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 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 III ; 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. TENANT/LESSER OWNER/1ESSOR ADDRESS — --- ADDRESS— -- -- ADD ESS O UNIT TO BE INSPECTED CERT.# 300-96 ' 3 FEE DATE: 0 05/17/5/17/ 96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 39 Endicott Street UNIT #: 1 OWNER/AGENT: Stephen C. Inaemi ADDRESS: 36 Marain Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-8241 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. F THE BOARD OF EALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY! CODE, CHAPTER II, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN H-IABITATION". PROPERTY LOCATED AT ! � C11COTT i UT OWNER/LESSER � ILr C MANAGERJACENT � c }l�qv Flo n,� ADDRESS 40 ADDRESS CITY �S Aa� Jif I�'A pp01�1-1 C3 CITY RESIDENCE PHONE rJ� _ O cZ BUSINESS PHONE (24 HRS.)_ M BUSINESS PHONE '14-4-- !Lxc),a TOTAL NUMBER OF ROOMS: 3 ROOM USE: I . CJIL(610 2. Yqj� 3.1, A'Zj-z�m\4 . 5. 6. 7 . 8. , THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEH HEALTH DEP NT THIS FEE AYABLE AT THE TD E OF 121SPECTION APPLICANTS SIGNATURE „ea_L INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONS r DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ;j��E�_DATE FEE PAID:��f 7 TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR . C.wnm CERT.# 446-99 v FEE $25.00 fDATE: 08/12/99 M. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 39 Endicott Street UNIT #: 2 OWNER/AGENT: Stephen C. Ingemi ADDRESS: 36 Margin Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4220 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. rFOR THE BOARD OF HEALTH O Q U//� l(/JuJOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 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 . Tet:(978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 Fax:(978)740-9705 "MINIMUM STANDARDS OF FITNESS FOR UMAN HABITATIO _q PROPERTY LOCATED AT 3 9 (C p UNIT#�C IS THIS UNIT DESIGNATED AS RIGH�T�J LEFT FRONT ACK PLEASE CIRCLE ONE R OWNER/LESSEC � ��1 MANAGERIAGENT b/ld(GQ No P.O. Box / �/jnn No P.O. Box nn /� '7 ADDRESS 310 ''Jr/9 / T ADDRESS � 6 /YK CITY 67A LE7M II rr,, CITY RESIDENCE PHONE ��i-`f-�e .BUSINESS PHONE (24 HRS.) BUSINESS PHONE / «� TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1�rgd l Q 2. 94pl � 4 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ! ORDER TO THE CITY OF SALE HEALTH DEPAR ENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. C APPLICANTS SIGNATURE DATE 6 h°- / q I SPECTORS US NLY DATE OF INITIAL INSPECTION T� C T DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:!3 - 1 1-F y DATE FEE PAID: Z Y 5 TYPE OF UNIT: DWELLING/ OTHER_ CHECK# 00 CHECK DATE -'l Z NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 . 0 T C get.. y �H 53 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 08/10/99 Tel:(978)741-1800 Endicott Street Realty Trust, Joseph Ingemi, Trustee Fax:(978)740-9705 36 Margin Street Salem, MA 01970 PROPERTY LOCATED AT 39 Endicott 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. 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 BOARDr REPLY TO i anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR Q�Vw CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 AS FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#494-07 DATE ISSUED: 10/4/2007 Property Located at: 39 Endicott Street UNIT#4 Owner/Agent: Stephen Ingemi Address: 7 Fairfield Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4220 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR h ..w CITY OF SALEM, MASSACHUSETTS ,LJJA �f BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR [[[ SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH,'RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 213 :F✓ld ce� st- UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER SIIAA C. Vent1 MANAGER/AGENT No P. ESO. Box I No P.O. Box ADDRS FGQir ke,(U ADDRESS CITY S_A: 6m CITY RESIDENCE PHONEl"tS� LdLIf IBUSNESS PHONE (24 HRS.) BUSINESS PHONE q� 011. 1 TOTAL NUMBER OF ROOMS: ROOM USE: 1.'K( 2.j( � 4. 5. _6._7._& 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-Yi ? —DATE O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /y- y—9 ? _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/0-_Lt-07 DATE FEE PAID:-/ TYPE OF UNIT: DWELLINOTHER_ CHECK# // 7T CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 FF) CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 "0N6 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#320-06 DATE ISSUED: 6/20/2006 Property Located at: 39 Endicott Street UNIT# 5 Owner/Agent: Stephen C. Ingemi Address: 36 Margin Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-4220 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 TH BOARD OF HEALTH 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 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 AT21 & UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER � I 0 MANAGER/AGENT No P.O. Box, NO P.O. Box ADDRESS '/ dP�� ADDRESS CITY (,ra p CITY RESIDENCE PHONE1�I �q?A ( BUSINESS PHONE (24 HRS.) BUSINESS PHONE q ,dyy 1ngqqa�_a TOTAL NUMBER OF I ROOMS:—(:;Z- ROOM USE: 1 26JI14 '2 --4.- 5. 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_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION fv ') Z- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEZ1`G'fl,/o DATE FEE PAID: TYPE OF UNIT: DWELLINgte-OTHERCHECK#/ OKI CHECK DATE__/?&6 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH y, 120 WASHINGTON STREET, 4TH FLOOR o 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 # 135-05 DATE ISSUED: 2/25/05 Property Located at: 39 Endicott Street UNIT#6 Owner/Agent: Stephen C. Ingemi Address: 7 Fairfield 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 f' <- 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 978-745-0343 '1 V STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO /I MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 MINIMUM STANDARDS OF FITNESS FOR /HUMAN HABITATION" PROPERTY LOCATED AT j G f�Ot tG� S'� UNiT H IS THIS UNIT DESIGNATED A LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER__,��t. 0C • "_ 1 MANAGER/AGENT _ No P.O. Box No P.O. Box ADDRESS I rP.f4 ADDRESS Y�__ , CITY. ,SQ. _ a�� '� d CITY RESIDENCE PHONEgjLV_WJ_BUSINESS PHONE (24 HRS.)_T _ BUSINESS PHONE-ge TOTAL NUMBER OF ROOMS:____ ROOM USE: 1JW' _rahL 2.k3. {(6(fWl4__ S. 6. 7. H. 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 _ T l� _ l INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _�; -� 3 v DATE OF REINSPF"TION DATE OF ISSUANCE OF CERT11-ICATE2., y3-0 a DATE FEE PA1U- TYPE OF UNIT_ DWFLUNN(, OTHER CHECK ti 1 12bD C.t FCK DATE NOTi-S Cf)L}LF-Hi W-1MLNIINtiWi,C1011 �' co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • e 120 WASHINGTON STREET, 4TH FLOOR $' SALEM, MA 01970 CERT.# 602-02 - FEE $25.00 TEL. 978-741-tBoo DATE: 11/26/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH. RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 39 Endicott Street UNIT #: 7 OWNER/AGENT: Stephen C. Ingemi ADDRESS: 7 Fairfield Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4220 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 CODE ENFORCEMENT INSPECTOR " J o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 (� D TEL. 978-741-1800 ll/ 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 ATS( GJ S" UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE i MANAGER/AGENT No P.O. Box rI N ADDRESS III ^^Pail t(Ad Sf ADDRESS CITY��X wk Y"6L _CITY I RESIDENCE PHONEgli qN�IbXgl BUSINESS PHONE (24 HRS.) nn BUSINESS PHONE vl, X q q"1,/ �a 0 TOTAL NUMBER OF ROOMS: � ROOM USE: 1.� U'� 2. K(6113.-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. ll,,-- APPLICANTS SIGNATURE AV,17t r DATE !NSPECTORS USE ONLY DATE OF INITIAL INSPECTION %I- Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: //-)-& -ebATccE��FEE PAID: 2- TYPE OF UNIT: DWELLINGTHER_ CHECK#�_l_�jCHECK DATE �D 2 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 r� CERT.4 215-97 •' G" FEE $25.00 1] IP DATE: 04/09/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT - Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 39 Endicott Street UNIT 4 : 8 OWNER/AGENT: Stephen Ingemi ADDRESS: 36 MarginStreet CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4220 . 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 HEALTHDEPARTMENTAND 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 R 11jP� 4 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3 {c2 sLrUNIT r OWNER/LESS77EtR MANAGER/AG ENT �7C�y ADDRESS L� 's ADDRESS Cl�ySl CITY rQ.,�,(� �R - fl l °I�� clrY {� RESIDENCE PHONE L ({ 'E c{4 ( BUSINESS PHONE (24 HRS.) rt 1CAty�S2� BUSINESS PHONE �} — TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. PJ7tl,qj 2. 3. 4 . 5. 6. 7, 8, THERE IS A TWENTY-FIVE 5.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH D NT THIS FEE ZS PAYABLE AT THE TIl4E OF INSPEC ION APPLICANTS SIGMA INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: — —t 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _( � 7 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: -- .._.—....—__.._ CODE ENFORCEMENT INSPECTOR CERT.# 90-96 FEE $25.00 ��t /•Fs DATE: 02/21/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 39 Endicott Street UNIT # : 8 OWNER/AGENT: Stephen Inaemi ADDRESS: 36 Marain Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4220 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 �Pam 0 V)aij Ll� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 GITY-OF-SALEM,B4OARD OF:HEALTH _..Salem;Massaghusetts 01970-3928--_ . __. �. — -- -- ----- JOANNE SCOTT,MPH;RS,CHO - - -NINE NORTH STREET HEALTH AGENT . - Tel:(508)741-1800 APPLICATION .FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY'CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". r UNIT / PROPERTY LOCATED AT-i OWNER./LESSER dJI�cn �t �nCilLl - MANAGER/AGENT ADDRESS ADDRESS CITY- QS01_„n A • O 19-10' CITY t RESIDENCE PHONE �L� C)aE�I � BUSINESS PHONE (24 HRS.) . a d BUSINESS PHONE_ TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. _3. 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) LLAR FEE, PAYABLE B: CMEC OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP i 4;1 IS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE "? a J /' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: Z 'p � DATE OF REINSPECTION c, _ DATE OF ISSUANCE OF CERTIFICATE:�_Z L-6 DATE FEE PAID:�� TYPE OF UNIT- DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR t;OND . City of Salem, Massachusetts 1P a Board of Health 120 Washington Street, 4th Floor, Salem, PluhlicIiealth MA 01970 Prevent. Promote. Protest, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Mayor health@salem.com Larry RameMPH, REHS, CHO Ma Ha y @ Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.465 DATE ISSUED: 11/23/2016 Property Located at: 41 ENDICOTT STREET UNIT# Owner/Agent: Jaime Torres & Maria Reyes Address: 15 French Street City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone:(781)913-7290 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. jJYJeyIf - Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS s BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TI;t.. (978) 741-1800 KIMBERLEY"DRISCOLL FAX(978) 745-0343 MAYOR LRAMllINna,SALEM.COM LARRY RAMDIN,RS/RE[-1S,CFIO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT A� &J'C 7 S� �T` r/ t t� � O I I 1 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER tC � MANAGER/AGENT 1fA�l\C�`f�C YQS NO P.O.BOX ADDRESS ADDRESS I � J-\C�'Ja"lC� [S�,C CITY,STATE,ZIP Q�1 1�G \l�r 1��TTY,STATE,ZIP 1 11 RESIDENCE PHONE I ��2 -I� BUSINESS PHONE(24HRS) 18 BUSINESS PHONE '7,n� TOTAL NUMBER OF ROOMS: ' ROOM USE: 1. (/' 2. 3. 4. f 5. t/ 6. Li 7. L/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 71SAYABLE A TIME OF INSPECTION APPLICANT'S SIGNATURE - DATE Inspectors use only Date on initial inspection: TL2-U2n16 Date of reinspection: Date of issuance of certificate: Date fee paid: 2�lZn±i Type of unit: Dwelling iteOther Check#—Z14—Check date:—=Z" Notes:��A In em'9,14 Lik'001 n. hmrkl"n - F., in +ten nnar br�h rd'nh, Mai °e'ra✓_'�SI,nT C of cement Ind for CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 3i 120 WASHINGTON STREET, 4TH FLOOR �Po SALEM, MA 01 970 s� TEL. 978-741-1800 �nnve FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT Novemberl0, 2003 Bertha Presson 6 Sandie Lane Marblehead, MA 01945 PROPERTY LOCATED 43 Endicott 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. F rF r the Board Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector V F C g � Q �/hMg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT March 20, 2000 Tel:(978)741-1800 Fax:(978) 740-9705 Beth Presson 65 Sandie Lane Marblehead, MA 01945 Dear Sir/Madam: In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.000: 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, an inspection was conducted of your property at 43 Endicott Street#1 conducted by Pablo Valdez, Code Enforcement Inspector of the Salem Board of Health, on March 9, 2000. An inspection of the dwelling unit at the above address has revealed that it does not comply with the Massachusetts State Sanitary Code Chapter 11: Minimum Standards of Fitness for Human Habitation. Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the Salem Board of Health and the unit may not be rented or occupied until the noted violations have been corrected and a reinspection has been made. VIOLATIONS: SEE ENCLOSURE: ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS. Please note that some of the necessary repair may require permits for the Building, Plumbing, Electrical, Fire or other City Departments. These must be obtained before the work is commenced. FOR THE BOARD OF HEALTH REPLY TO Joanne Pablo Valdez Health Agent Code Enforcement Inspector Este es un dmento legal importante. Puede que afecte.sus derechos im_. ocu - g -- = EnclosBure _ -- JS/mfp I� c� CITY OF SALEM HEALTH DEPARTMENT #f Nine North Street Salem, Massachusetts 01970 Enclosure Beth Presson 43 Endicott Street#1 Hallway going from the second to the third floor must have a protective railing provided by the landlord. Scrape and repaint third floor bathroom ceiling. Cellar-drier must be externally vented. -_3 i 3 • " CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STREET 4°i FLOORb�CH�th Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL h-aindin@salem.com MAYOR LAItItY RAMDIN,RS/KERS,CRO,CP-PS HI?Ai,PH Ac,I?N'r CERTIFICATE OF FITNESS CERTIFICATE#208-13 DATE ISSUED:6/24/2013 Property Located at: 45 Endicott Street UNIT# 1 Owner/Agent: Aracelis Mejia Address: 45 Endicott Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-0080 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 JC=ALTH LARRY RAMDIN HEALTH AGENT A " 1 Il 1 r b CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR NbliCHealth Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdin=,satem.com MAYOR LARRY RAMDIN,RS/RF,FH IS,CO,Cl'-FS HEAL rf I 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" [/J� I FEE: $50.001 PROPERTY LOCATED AT nCLCZEif� 4 '5CLtQ rA, qA- 019-7 D UNIT# IS THIS UNIT DISIGNATED AS RIGHT I!EFT FRONT OR BAC&PLEASE CIRCLE ONE OWf�NER/LESSER 7 , L 15 M i�tfTA_ MANAGER/AGENT NO P.O. BOX ADDRESS 45 .fnS I co l4 ✓V Q Q- ADDRESS CITY, ST TE,ZIP L 1 CITY, STATE,ZIP RESIDENCE PHONE`1//�� g l T -[-D Q 90 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER// %yOF ROOMS:--�� +/ . I ROOM USE: LLi(wZorR3t(w)m 3. k Q A 4.fdW 5. ��+ (6D A 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 Tki PAYABLE AT THETIMEOF INSPECTION APPLICANT'S SIGNA ° \ DATE & 7i�20/3 Inspectors use only Date on initial inspection: ii�,�2 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_Check date: Notes: Code E entInspector CITY OF SALEM, MASSACHUSETTS ' BO.jRD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR PubI1CH@Blth Yrevenl. Promme.Proleel. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin@salem.com MAYORLr\RRY 1L\NID1N,RS/REBS,Cf K),CP-FS Huljuxi I AGINP CERTIFICATE OF FITNESS POLICY 1. A Certificate of Fitness inspection is required for all rental units older than 5 years, per City of Salem ordinance; 2. A Certificate of Fitness is good for I year or the life of the tenant, whichever is longer; 3. A Certificate of Fitness inspection may be obtained by calling or coming into the Health Department and requesting an appointment; 4. Appointments must be requested at least 24 hours in advance pending an open appointment; 5. No "same day" appointments will be granted; 6. All appointments are subject to the schedule of the inspector; 7. A rental unit will be considered occupied when either the previous tenant or the current tenant has belongings in the unit. In the case of an occupied unit, either the tenant whose belongings are in the unit must be present at the time of inspection, OR have signed a release statement allowing the Board of Health to inspect the unit. 8. Please allow at least one week turnaround time for the Certificate to be issued, especially at the end of the month; 9. A Certificate of Fitness will be granted when: a. An inspection has been conducted by a Health Department employee b. An application has been filled out and a check or money order has been received 10. If you have any questions, please contact the Health Department c . rr(• .. _1' ��t-yL-...y,,. �. ._._",,..,,,._.�.•�-+..w-�.^..._'.:^"'n/G��.^biI'4.�SA""``�".'.-'�✓ ,r'wn.ti-.\/.. y.�.,n. . , Inspection of ✓l \ yl.�'I 1_f� _ —1'f Date I Time Name_. }� 7 Address {��"�/ Owner � I W vl ir) d/ITel. No. Type of Inspection / !f !/ Inspector ��A/1 A- I v v ( ' Remarks and Violations are listed below: � rc�i('1� a 01''1'1 - �l i,Vir�r�(nt� ��,✓�� /Yl��'�Gi�� Y l.lV1� Report Received by.:-,a,�%1�,""t-t`''`r7 v CITY OF SALEM, MASSACHUSETTS .� BOARD OF HEALTH 4 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/8/05 Forty-six Endicott Salem Realty Trust/Carol Pickett Trust 46 Endicott Street Salem, MA 01970 PROPERTY LOCATED AT 46 Endicott 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 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. .For the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CO City of Salem, Massachusetts f a. Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA01970 Prevent. Promote. Prntect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-390 DATE ISSUED: 11/25/2015 Property Located at: 48 ENDICOTT STREET UNIT#111- Owner/Agent: 1LOwner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-5135 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • ^`; BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR tit @MWA&'d—m LARRY RAMDIN,RS/RUM,010,(:P-IS HrAt.TTI 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 AT70y'- .S7'`, UNIT# / IS THIS UNIT DISIGNA)TTD AS IZt GIIT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERQ.ESSERNO F 0 BOX / ,G��LQ�d1. 4, 1-dz - MANAGER/AGENT .S� �ADDRESS . / (/ I G, Qom,, �^�T AA�T� ADDRESS 11 CITY, STATE,ZIP S,t „ OVt 01020 CITY,STATE,zw RESIDENCE PHONE 7�^� �tri ��BUSINESS PHONE(24HRS) BUSINESS PHONE �`�'� TOTAL NUMBER OF ROOMS: ROOM USE: 1.Aa-e - 2.f��✓i}`f 3 b)V i!`i, 4. 6. 7. 61 8. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE=AYABLE AT TIME OF INSPECTION APPLICANT'S SIGNATURC7Z �-�` qq hmpeotors use only .l. Date on initial inspection: / !�/261T Date ofreinspection: Date of issuance of certificate: �2�}�?1 Date fee paid: 2 ) )IT Type of unit: Dwelling "�Other Check#2S'i�_Check date: -11J2-y12t�_ Notes: R% ,nxv i 1t�r�yLa l big se Cron+ saS�t cement ector CITY OF SALEM, MASSACHUSETTS + J m BOARD Of HF�:�I:CFI '-' 120 WASHINGTON STREIST,4.° FLOOR TEL. (978) 741-1800 KIMBERI-EY DRISCOLL FAX (978) 745-0343 MAYOR ucitrrNi;w�l��nl.r;�l.con� DAVID GRFjI NBAUM,RS ACTING 1-I1kAIXI I AGISN'I' CERTIFICATE OF FITNESS CERTIFICATE #484-10 DATE ISSUED: 10/14/2010 Property Located at: 48 Endicott Street UNIT#2L Owner/Agent: Linda Locke Address: 1 Pickering Street City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5135 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 B RD OF HEALTH I DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE E O EMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHING'fON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR 1)(;1d NBAUN1@SALd::Nf.COAL DAVID GREENBALum,RS ACTING HE.'\LTH 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." ® FEES: ,$c50.00 PROPERTY LOCATED AT '1r, Ei d f Cd JL UNIT# Z L IS THIS UNIT DISIGNATED AS RIGHT LENT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER �'�^�� l�ck.2_ MANAGER/AGENT �v �UKCPNT NO P.O. BOX _ ADDRESS c�e�i� S 51— ADDRESS L/ tL- 1tA (a 17' 5 -t— CITY, I / CITY, STATE, ZIP S4(ewt Mit C) 1 176 CITY, STATE, ZIP Sal,, tqa 0Z! 76 RESIDENCE PHONE 9��l� / 3 S BUSINESS PHONE(24HRS) 9'7C--ke6l SQ�3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. L i v /�K-k 2. D In 2 3. 3 2 4. Zj2 5. 6. 4 1-,_k 7• /�n Y 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 MYABLE AT THE TIME OF INSPECTIO APPLICANT'S SIGNATI DATEC� / I ectors use onl Date on initial inspection: I o ' U Date of reinspection: Date of issuance of certificate: 6 / y �U Date fee paid: 10 I / U Type of unit: Dwelling_ Other —Check#_ Check date: M) Ih o Notes:. Lps I C�bon 6p141AA��1M ( ,P &r Io Code En ement Inspector CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ocRual-.NIiAUM@SAla:N.coNf DAVID GREENBAUNI ACTING HIAI.III AGftN'r Facsimile Transmittal To: ��'I A Fax # - Q7T9 RE: Date Page(s): including this cover# Message: f 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 TRANSMISSION VERIFICATION REPORT TIME 10/19/2010 03:36 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 10/19 03:36 FAX NO. /NAME 919789212121 DURATION 00:00:26 PAGE(S) 02 RESULT OK MODE STANDARD ECM ND " City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCHP.alth Prevent. Promote. Protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-137 DATE ISSUED: 5/3/2016 Property Located at: 48 ENDICOTT STREET UNIT#2111 Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745.5135 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR TEL. (978)741-1800 FAX(978)745-0343 KMERLEY DRISCOLL '( lramdin�a salem.com MAYOR LARRY RAMI)IN,RS/REII.S CtiO,CP-IS HEALIII 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� t rJ' UNIT# 1Z IS THIS UNIT DISIGNATED ASGATT LOT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER L l N LSC Iv MANAGER/AGENT NO P.O BOX ADDRESs_ �� ST- ADDRESS CITY, STATE,ZIP S Z.K M ,01 �0 CITY,STATE,ZIP RESIDENCE PHONE �2k—:��S % ,�_BUSINESS PHONE(24HRS) BUSINESS PHONE S!6_r+,f_ TOTAL NUMBER OF//ROOMS;__.`Z_,.� ROOM USE: 1PL ed/20rn 2-WzTam 1hV0901,464. +n ft h.5r`•f�J� C 7. S a9. 10 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS YABLE AT TIME OF INSPECTION APPLICANT'S SIGNATURE DATE.��' '� Inspectors use only Date on initial inspection:© ()1 Date of reinspection: Date of issuance of certificate- Date fee paid: 0Y12 �2n11; Type of unit: Dwellin V Dt6er Check# Check date: t"3�,W2a Notes: 5- Code Enforcement Inspector I r r, ' / f Inspection of -�1,J,F aVa4-� W AC41'T Date OW2V2-N Time �. Name r� Address - Owner__1 _ fh n. or, (, Tel. No. ✓I Type of Inspection r-r f iT,i n,.,TE f Fir+lgo. Inspector p ( ' Remarks and Violations are listed below: 1 ✓ '—I�Vlna P1 ow�^/.IAje)+nS6-aj IP �� S CA WI W l�.v $ 1 /A r (51441104 r C r�pfh V 2 Gtr y�lcG �r,S t^�Ih D�Li><l � ��Sa Iq a siivla uc oy�' , IM U� r v . jnl c✓ za>�faP /1�t�a G — o t l f Report Received by: SND City of Salem, Massachusetts F < f • i. ME a Board of Health 120 Washington Street, 4th Floor, Salem, Pab1iCH@atth MA 01970 Prevent. Promote. Protect. Kimberiey 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-16-480 DATE ISSUED: 12/6/2016 Property Located at: 48 ENDICOTT STREET UNIT#3L Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-5135 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 Mspectic of \, Date Time D Nam Address r_ �--��/ Owner - Tel. No. J '�4lgn!in Type of Inspection l ry�ffiY'("iT L<*- ,QInspector ( ' I Remarks and Violations are listed below: n 11�l HCl d ��Z(1 U.�( �� ( nD T�Q -t�51`C�-ArC] N\f da cx)(1�, ,. rd, b��7C m 1�S 1�0Cyen 0A V?Bx,kQ, nil u�:a llus` ti) _C'lc�e -; �WQ. f ir- uxQ X�, .�� rJAI Ce Report Received by: CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4O]FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN@a SALeM.COM LARRY RAMDIN,RS/RFI-IS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" / FEE: $50.00 PROPERTY LOCATED AT 74k —SA,64 ,- UNIT# 31 > IS THIS UNrr DISI ATED AS RIGHT LEFT FRONT OR B E PLEASE CIRCLE ONE OWNER/LESSER _� 1 MANAGER/AGENT X2- `''"'�, NO P.O.BOX ��/ ADDRESS �� r P lam- ADDRESS CITY, STATE,ZIP CITY,STATE,ZIP RESIDENCEPHONE "1 <� ,) BUSINESS PHONE(24HRS) 1 rn2 `� N BUSINESS PHONE TOTAL NUMBER OF ROOMS: )) J ROOM USE: 1.b)1✓i nj 2/r �� 3.*Ade,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 TIW TIME OF INSPECTION p ' ✓J J APPLICANT'S SIGNATURE a5r CP DATE, � n r� Inspectors use only Date on initial inspection: D (_ 1 LlJ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# 9,'�GD Check date:Ur C_ ` 1261 Q Notes: k�Q�C�1ClSPCC+1-CA—) Co4E�G4rcelent Inspector ti CITY OF SALEM, MASSACHUSE'T"TS BOARD OF HEA1TI-1 120 W ASHINc roN Sr1u E'T,4"F1.oOR PublicHealth Prevent.Promote,Protect. TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOLL tramdin@salcm.com LARRY IteAbID1N,RS/RL.HS,C1 10,CP-FS MAYOR HEACCI-L AGLN'r Facsimile Transmittal To: From: s& M Fax # RE: Date: Page(s): including this cover# Message: G 0-:: L Af[Go )f -B. IJ"�S. 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 " Board of Health r 120 Washington Street, 4th Floor, Salem, PublicHea Ith MA 01970 Prevent. Prmm.te. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-210 DATE ISSUED: 8/5/2015 Property Located at: 48 ENDICOTT STREET UNIT#311 Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-5135 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT IAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WAsmNGTON SIREEr,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 . MAYOR l.&m n,QSAMM.COM LARRY RAMDIN,R.S/REJiS,CNO,CP-1 IS HFALm AGrm' - - - 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 Q l�7`T �� UNIT#�� IS THIS UNIT DISIGNAT®AS RIGHT�F M OR BACK.PLEASE CHtO E ONE OWNER/LESSER �J V'D A 1�C�/ MANAGER/AGENT 57.E«zLb ✓,-P� NO P.O.BOX ADDRESS 1 G n�� ADDRESS — CITY, STATE,ZIP S~O"i AA OJ-170 CITY,STATE ZIP RESIDENCE PHONE-4 7��7 Q�'��3 7' BUSINESS PHONE(24HRS) c BUSINESS PHONE TOTAL NUMBER NUMBER OF ROOMS: ROOM USE: 1.1..!'r I1 2AfP&tA% 3. &A*V#t4."kW 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 ISYAYABIY AT THE O OF INSPECTION } APPLICANT'S SIGNATURE t2—'— - DATE Inoectots use only Date on initial inspection: 0 Date of reinspection: Date of issuance of certificate: 0 '1120I-r Date fee paid: 08�83�2 CC)� Type of unit: Dwelling ✓ OtherCheck# 2�f�_pCheck date: 6 ��3/201, Notes: BOAroo/r. an� kr + �pn 11ank v a.�er react e.�l' FPemaer--v+vres or JF- 1-�Q. rofan r d aren f 4o k('+C194 AeejA ; 10 �l Gwe w(P' ni S' - off A fD /o! k Works, Co)I o meat Insp or A. And— 0Mi City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubIiCHP,aith MA 01970 Prevent. Promote. Promm. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-81 DATE ISSUED: 3/4/2016 Property Located at: 49 ENDICOTT STREET UNIT#1 Owner/Agent: John Arrigo Address: 1 Paradise Road City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745.7300 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH CPQ/./�FS.f'�,/1Y✓ '�/r-o�c�� Lary Ramdin, MPH, REHS, CHO 61 HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF H&uTH 120 WASHINGTON STREET,4`"FLOOR P�.PC,,,,<H Pm„tt,. TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL kamdin o salem.com MAYOR LARRY RAMDIN,RS/R,E]-IS,C140,CP-PS HLAurii AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED IS THIS UNIT WSIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER-Todikl,UF'am�yTl-i-e(IC)CdbLC'Tita,,MANAGERIAOENTCharles :;. /I4- 1-160 NO P.O.BOX ` ADDRESS 1 /�d-rdd { SE rZol ADDRESS j (�'c Faa +S G/ Rct CITY, STATE,Zip-5& Lep---i4�F7117 o i 91a- W Z 9 CITY, STATE,ZIP d L lY1 1� )F)4197p-1/ZZ RESIDENCE PHONE` &-25'S- 7.3 o O BUSINESS PHONE(24HRS)'�'2h? 'l3>00 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1 jB P.- 2.13R 3. 4.4 )-Z 5, DR 6. )-0 T" 7. 8. 9. t0. THERE IS A FIFTY($50)DOLLAR FEE,P YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE IS PAY E AT THE TIME OF INSPECTION APPLICANT'S SIGNA r DATE. .� /6 Inspectors use only Date on initial inspection: 6 Date of reinspection: Date of issuance of certificate: Date fee paid: 3h' Type of unit: Dwelling Other Check#_�_L_.,,_.Check date: Notes: Coretfmdor6ohent Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pub�icH®slth wND MA 01970 prevent.Promote. protect. 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-16-399 DATE ISSUED: 10/20/2016 Property Located at: 49 ENDICOTT STREET UNIT#2 Owner/Agent: John Arrigo Address: 1 Paradise Road Cityrrown: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7300 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, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS "l s BOARD OF HEALTH 120 WASHINGTON STREET,411 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 .MAYOR LRAMI]IN@SALF.M.COM LARRY RAMDIN,RS/RRI-1S,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 /1 PROPERTY LOCATED AT �� o ij SfY)'1 UNIT# 2 IS Tim UNIT DISIGNATED AS RIGHT LE FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER-7ob0 /=C)il)��Y2}t'QYazak( )MANAGER/AGENTC'�'/2� «S /�lfi(r0 NO P.O.BOX ADDRESS a F a f 1 s Z d ADDRESS,//�e F a I S 2 i i CITY, STATE,ZIP CITY, STATE,ZIP5�)?A CZ-9'Z RESIDENCE PHONE 47 5'-7�/S` 7,3ob BUSINESS PHONE(24HRS)9 7X3= BUSINESS PHONE C e//•" �i 7B-9a2'z3 j« TOTAL NUMBER OF ROOMS: 6> ROOM USE: 1. IZ 2. 3 %Z 3.3 'R 4.G 5. -P 6. Vi T 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, P Y L AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE l 1 DATE /D /4 / InsRectors use only Date on initial inspection: inqll�712oM Date of reinspection: Date of issuance of certificate: ,/{.y zoJ Q.1Date fee paid 7/2D.2-E Type of unit: Dwelling � Other Check#Check date: .,/D �/� Notes: nfg cement pector f G/11 .Qul rl 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 05/15/2001 Aser Frisch 80 Blodgett Avenue Swampscott, MA 01907 PROPERTY LOCATED AT 52 Endicott Street UNIT # 1L Dear Sir/Madam: It has come to our attention, that you maybe 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. R THE BOARREPLY TO oDHE TH anne Scott, MPH,RS,CHO PABLO VALDEZ I Health Agent CODE ENFORCEMENT INSPECTOR rAN City of Salem, Massachusetts f • i Board of Health 9 120 Washington Street, 4th Floor, Salem, PU h MA 01970 Prevent.Promote. Protect. 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-16-405 DATE ISSUED: 10/20/2016 Property Located at: 52 ENDICOTT STREET UNIT#1 R Owner/Agent: Frisch Realty Address: P. O. Box 634 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 248-0554 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. 4 sy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIA % CITY OF, SALEM, MASSACHUSETTS 13()\RD OF Hn-hLm I 120W\SHINC'Fox STREET,4 FLOOR '11"L. (\978) 741-1 SoO KIMBEIRI.F.YDRISCOIJ, FAX ,)-,S) 7 45-0343 1 ]AAMI)IN! ),S:\1ENT.CON1 L.\Rm R-\MI)INt RSIREI IS.CI R ,(Y-FS Hit\1:11 1 A(;Fx"i Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT ,' D F-06iCO-4'y�A -n\PTN-) , njq7() UNIT4 IS THIS UNIT DISIGNATED A EFTfR—Q_UOR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGWUAGENT bnC'WS Ref&\S NO P.O.BOX ADDRESS V)'V-0 fy-)q rr1r , * ADDRESS-9-0 - (2 �>L� LA mc:N� ��y CITY, STATE,ZIP 019q SCITY, STATE., ZIP G-�CQCeS-te-T-, qg, ()jq RESIDENCE PHONE 7,LA ?,-05 f;-Ci BUSINESS PHONE (24HRS) -1 `0 BUSINESS PHONE TOTAL NUMBER OF ROOMS:— Li ROOM USE: 6. 7. 8. 9. 10. THERE IS A FIFTY (110)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATTHE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE /0 Inspectors use only Date on initial inspection: IDItqaal� Date of reinspection:_ Date of issuance of certificate: 1pa �� Date fee paid: 101W-2--O" Type of unit: Dwelling-v/-other Check 41000_ Check date:- )1131.2-046 Notes: co"f/cementypector ?� CITY OF SALEM, MASSACHUSETTS 13oARn or HF-ATL TH 120 WASHINGTON STREET,4... PublicHealth FLOOR N .,.�,.N.�m�, r„�,.a,. TFL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOL,L lramdinnsalem.com 1,.ARR1'RA�IDLN,RS/la!iHs,0110,CP-I�5 MAYOR HI?;V:fH AO ENT CERTIFICATE OF FITNESS CERTIFICATE #386-12 DATE ISSUED: 9/19/2012 Property Located at: 52 Endicott Street UNIT#2 Left Owner/Agent: Aser Frisch Address: P.O. Box 621 City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 781-248-0554 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II” Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN r HEALTH AGENT SANITARIAN c: Crry OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET. 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 ' JOANNE SCOTT, MPH, RS. CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNES/S� FOR HUMAN HABITATION". PROPERTY LOCATED AT _ `7�_ �!I��UNIT# IS THIS UNIT DESIGNATED AS RGH�Tp LEFT .. R BACK PLEASE CIRCLE ONE OWNEWLESSER. xs� MANAGER/AGENT No P,O,Bo No P.O.Box ADDRESS AQQRESS�_� � GITYI� IQs`Yt�t t �iKri ��a� CITY RESIDENCE PHONE]-SA - -oSSs BUSINESS PHONE {24 HRS.) - crJJ BUSINESS PHON %--AAL�D _ TOTAL NUMBER OF ROOMS: ROOM USE: � 2 V -&11��1�14. VC Ll'L11 \ 5.---6. 7. 8._,y__ 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�� INSP CTORS USE ONLY DATE OF INITIAL INSPECTION q`!q1(.g,_______, _DATE OF REINSPECTION ...,,. _.._ . .._._ DATE OF ISSUANCE OF CERTIFICATE:_ . . _ _DATE FEE PAID:__ TYPE OF UNIT: DWELLING OTHER CHECK it CHECK DATE NOTES: C ORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PubliCIiealth 1t 'Prevent.Promote.Protect. 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-17-231 DATE ISSUED: 8/3/2017 Property Located at: 52 ENDICOTT STREET UNIT#2R Owner/Agent: Frisch Realty. Address: P. O. Box 634 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781)248-0554 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. HEALTH AGENT SANITARIAN Larry Ramdin, MPH, REHS, CHO 7 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4:m FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAAIDIN(@SAUM.COM LARRY RAmDIN,RS/REHS,CAO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT .Sd E)L'2rCo i r ,S72067- UNIT# CM IS THIS UNIT DISI�GrNAATED AS RIGHT LEFT FRONT OR BACK PLEASE CHICLE ONE OWNER/LESSER Asea SCX7 MANAGER/AGENT NO P.O.BOX ,� ADDRESS -2Z /1` �M�ffi2� �% ADDRESS LX)1'7 �yoti CITY, STATE,ZIP �il ( � CITY, STATE, ZIP IVA 0 7ls RESIDENCE PHONE —h ) QD JJ'/BUSINESS PHONE(24HRS) BUSINESS PHONEo/c/�D TOTAL NUMBER OF ROOMS: Z t i 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 PAY EAT THE T OF IN, SPECTION APPLICANT'S SIGNATURE C� 9247 ry`� DATE b 3 ! Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: ` Date fee paid: Type of unit: Dwelling—Other—Check# 1�1�Check date: o Notes: Mir) lR n � Code Enforcement Inspector v 3 w' CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT - Tel:(978)741-1800 02/02/2000 Fax:(978)740-9705 Aser Frisch P.O. Box 621 Swampscott, MA 01907 PROPERTY LOCATED AT 52 Endicott 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 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.0007 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. ,XPR THE BOARD OF HEALTH REPLY TO oanneSco HO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTHpublicHeaith 120 WASHINGTON STREET 4''FLOOR r.[th TEL. (978) 741-1800 FAl(978) 745-0343 KIMBERL.EY DRISCOLL Iramdin@ssalem.com LARR1'KAMDIN,RS/RM IS,CFIO,CI FS MAYOR H[S;\ce IA(;FNT CERTIFICATE OF FITNESS CERTIFICATE#270-14 DATE ISSUED: 8/13/2014 Property Located at: 57 Endicott Street UNIT# 1 Owner/Agent: Karen M Baker Address: -57 Endicott Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I 4RRY DI 1 HEALT ENT SANITARIAN 'r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �� / 120 WASHINGTON STREET,4""FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN(kSALEM.COM LARRY RAMDIN, RS/REBS,CI 10,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 c PROPERTY LOCATED AT �N D I co rt"T S-r UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER KAAR i M - tBA-KL=ie MANAGER/AGENT L,SLQM*I-Q_� NO P.O.BOX ADDRESS J /r 7 �^ U.I l /�'�' s-r ^'Un I Fa ADDRESS t� ^ CITY, STATE,ZIP /SA-�1LF-AA tAA4 QDp1 L/� 7V CITY, STATE, ZIP I I RESIDENCE PHONED I a �d`[/'�Q�//� 7 BUSINESS PHONE(24HRS) I BUSINESS PHONE I S�O ' IDa 10 Ca P S TOTAL NUMBER _ /OF ROOMSS: QD p Q� ROOMUSE: I.Liy1t 'y8.6 �I�^I^0 3. / ( K.LW, 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 4�a /6 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# Check date: Notes: Code Enforcement 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 LRAMDIN[SALEM.COM LARRY RAMDIN, RS/REHS,CHO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Va�',-� Q,dler� M - ga �ev'-- enant/Lessee Ow,nerr//Lessor Fnd'c7St 041'�a Address Address 57 ENDr COIT Address on unit to be inspected a� Date Updated 5/23/11 _ � Ge 8 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 Barry Johnson 58 Endicott Street Salem, MA 01970 PROPERTY LOCATED AT 58 Endicott 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 OF HEALTH REPLY TO VJoanne ott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR (IMPORTANT MESSAGE FOR / — Lt'.STJ A.M. DATE TIME 6✓ M �, o, of ��tc.ePuat-[.� 03 PHONE AREA CODE NUMBER EJffENSION O FAX j ❑ MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CAL I ` CAME TO.SEE YOU WILL CAL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL F TO YOU MESSAGE �7 ln�-� CcT� - N✓` � _ SIGNED FORM 4009 . MAGE IN U.S.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 04/02/2001 Fax: (978)740-9705 Anthony Ortins 61 Endicott Street Salem, MA 01970 PROPERTY LOCATED AT 63 Endicott 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 i 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 j 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 i. 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 THE BOARD 0� REPLY TO Vanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR J , CITY OF SALEM, MASSACHUSETTS • ` BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRF.ENBAUM@sAEtiLCOM DAVID GREENBAUM Ac'I'ING HEALTI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#52-10 DATE ISSUED: 2/1/2010 Property Located at: 72 Endicott Street UNIT#- Owner/Agent: Franco De Simone Address: P.O. Box 426 City/Town: Topsfield, MA Zip Code: 01983 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 T {/E�� OF HEALTH DAVID GREENBAUM U' ACTING HEALTH AGENT CODE Ew6RCEMENT INSPECTOR 1�CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH � 120 WASHINGTON STREET,4""FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 lNIAYOR LKELE BAA-tALA1.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 �i J PROPERTY LOCATED AT I � 6-yi /i 6-R..ti— J U1�Tr# t IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK ONE ,:7 OWNER/LESSER fAO v1W ��S�w�c�v� e_. MANAGER/AGENT NO P.O. BOX ��j ADDRESS P (9 • 'GU X =t�—�n ADDRESS CITY, STATE,ZIP_ �'t P I d, W\(A-- CITY, STATE,ZIP_ {qR 71 RESIDENCE PHONE LCJ 17 9.17 37-27 ""BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S 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 APPLICANT'S SIGNATURE 1 (�YC �y` i�F EA DATE � — �� 1 G Inspectors use only Date on initial inspection:_ //0 Date of reinspection: V�_ Date of issuance of certificate: 1 /to Date fee paid: 1 /U Type of unit: Dwelling Ot Check# �Sa Check date: a I /o Notes: f U�� M)11. � lnl� �� 1 19 ��/ �G11/i� /,/� l y r fscuj) /I Code E arc f ent Inspector i (JVbb M ti i Tenant, Y-Rxi Tenant, agree to allow the City of Salem, Board of Health Department, to inspect my apartment for a certificate of fitness, rental permit at 72 Endicott Street, Salem, MA first floor with my belongings still in the unit. ,DateDate ant Tena t fry ! • + CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DQR EN13AUMll�SAI ,M COM DAVID GRFMINBAUM ACTING HEALTH AGf.?N'I' CERTIFICATE OF FITNESS CERTIFICATE#51-10 DATE ISSUED: 2/1/2010 Property Located at: 72 Endicott Street UNIT#2 Owner/Agent: Franco De Simone Address: P.O. Box 426 City/Town: Topsfield, MA Zip Code: 01983 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 THTH�RD F HEALTH I f� - DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSE"ITS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TF'L. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR DGRELNIL,QhiCrDsALLM.CONI DAVID GREENBAUM, ACTING HEALTHAGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 7 p FEE: $50.00 PROPERTY LOCATED AT / {/1 t C 0 4f `Jt a (t ��' '� r VM 0 UNTI# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEAS CIRCLE ONE OWNER/LESSERtACk VI Cts �I P ( � MANAGER/AGENT NO P.O.BOX ADDRESS 3�(Zygydi� _—_ADDRESS CITY, STATE,ZIP ��/}� tpL�tl) C"— CITY, STATE,ZIP RESIDENCE PHONE CP f 7 U ° BUS�INE'SS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I 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 APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection:_ Date of issuance of certificate: d b 1 o..— Date fee paid: /0 _ Type of unit: Dwelling 7 Other Check# 1 � Check date: Notes: -C-i ( � t/ S ZI) �I �I1 fJ� /�V//IDCf� Gt I �IM� CL GCit' Jf�1� L' y All Code Enforce Inspector