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ENGLISH STREET CERT.# 557- 9S � FEE $25.00 DATE: 09/02/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS ' PROPERTY LOCATED AT: 3 English Street UNIT #: 1 OWNER/AGENT: Robert & Elizabeth Tremblay ADDRESS: 1 English Street CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 745-0568 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 R�TH� BOARD OF HEALTH/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 3{ M. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT -3 lf/✓ aj 15 UNIT# 1 IT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Orb 4e4'171/20;,i ,L! YMANAGER/AGENT ADDRESS� S ADDRESS CITY CITY RESIDENCE PHONE 7Ys a�(_C BUSINESS PHONE (24 HRS.) BUSINESS PHONE '741Y-1 '510 i TOTAL NUMBER OF ROOM//S: .3 ROOM USE: 1. el 2. hal/ & e�G4.9.87+ 5. 6_7_ 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S M HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE ` INSPECTORS USE kLY DATE OF INITIAL INSPECTION_q_::!�a- - ? Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:G� `l 9 TYPE OF UNIT: DWELLING OTHER__ NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 tjlP �epyy� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, i./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 ahesnts from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. T P1ANi/ ESSEE A OSI ER/LE SOR 3 _ _._- - --.--- ADD!.ESS ADDRESS f _ — !— ADDRESS 0 UNIT TO BE INSPECTED DATE CITY OF SALEM, MASSACHUSETTS �L HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#456-07 DATE ISSUED: 9/19/2007 Property Located at: 3 English Street UNIT#2 Owner/Agent: Robert & Elizabeth Tremblay Address: 1 English Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-0568 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 NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ,: / CITY OF SALEM, MASSACHUSETTS n l 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 AT , fiSh UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER '(U�G2T 11 �rltw 941(AANAGER/AGENT No P.O. Box Nb P.O. Box ADDRESS ADDRESS CITY CITY hh /.v RESIDENCE PHONE 7 N -G"BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7�- 7 TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1._ (z 2. 44 -3. l ll 4.�y�� 5. ( G & 4f, T 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 r _DATE D 7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Yj(/ 0 7 -DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE ,/ �7 DATE FEE PAID: / Z e, 7 TYPE OF UNIT: DWELLINGOTHER CHECK#--%_"_CHECK DATE7-1 NOTES: CODE ENFORCEMENT INSPECTOR 9/ /9 CFFY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR PublicHP,alt}t TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLI. h-amdin(a�salem.cotn L,tRR��Iz,�n�I»N,Rs/Rr_.ils,cno,cr-rs 111�Ye1t CERTIFICATE OF FITNESS CERTIFICATE #344-12 DATE ISSUED: 8/23/2012 Property Located at: 5 English Street UNIT# 1 Owner/Agent: 5 English Street LLC Address: 11 Windsor Street City/Town: Melrose, MA Zip Code: 02176 24 Hour Phone: 617-835-2075 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 HEALTH ,,�U, � LARRY RAMDIN HEALTH AGENT SANITARIAN Sa r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �o 120 WASHINGTON STRELT,4"'FLOOR � t TEL. (978) 741-1800 KTMBERLEY DRISCOLL FAX(978)745-0343 MAYOR L L%L4DIN sAI W.00N LAItIW R�N[DIN,M/RIr1IS,c1 f0,C.P-I+S Hr,;AI;r11�\cr,N'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 i PROPERTY LOCATED AT c J S'i�l G L(-S S ��� Jqt_.FWI UNIT#_J_ IS THIS UNIT DISIGN TED AS RIGHT LEFT FRONT OR BAC% PLE,A�SnE CIRC.E ONE OWNER/LES ISER� �jlCT( t,sit SW �SbC-$ - WC MANAGER/AGENT fI I ICN�A�C_ ADDRESSa(� t,\ kky�d bL STC A- ADDRESS CITY, STATE,ZIP Y c l:(,k5C VYI CITY, STATE,ZIP 0 Q RESIDENCE PHONE _BUSINESS PHONE(24HRS)131 7 T,3,5- A 0 7 T BUSINESS PHONE TOTAL NUMBER OF ROOMS:- 1$ OOMS: b p 1 f 0%AA � p , IJ ROOM USE: 1'M• f oom t, L1 V 1 SCI� 3.�d,Qm 4. ti� 5. 9441 ri bm AA.&mA7R 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 TIMEPF INSPECTION q APPLICANT'S SIGNATURE r DATE d 3 Inspectors u�o& Date on initial inspection: 'k- a:3-) 1 Date of reinspection: Date of issuance of certificate: 2s- I Date fee paid: y 23 ) 1 Type of unit: Dwelling ✓ Other Check#-15 5 S Check date: Notes: 1 Code Enforcement Inspector Y ry CITY OF SALEM;MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET 4°1 FLOOR PablicIie -lht TEL. (978) 741-1800FAX (978) 745-0343 l:IM131,R1:,G.Y"I)R'ItiCOI,I. tramdinnsalem.com - LArav RAn-u>IN,Rs/RI•.i is,ci u),(11-1-,S MAYOR FIFIALTn AceN r CERTIFICATE OF FITNESS CERTIFICATE #211-12 DATE ISSUED: 5/30/2012 Property Located at: 5 English Street UNIT#2 Owner/Agent: 5 English Street LLC Address: 11 Windsor Street City/Town: Melrose, Ma Zip Code: 02176 24 Hour Phone: 617-835-2075 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 ARD HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN j CITY OF SALEM MASSACHUSETTS 9 CHU T"I'S � BOARD OF HEALTH '®b�y 120 WASHINGTON STREET,4.°FLOOR v I I I TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR JAMVIDM([17 M]V M COM LARRY RAMDIN,RS/REfIS,CI 10,(a?-FS HEAL;11 I AGI''.NT v cm 61q, Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 3 (i' c JS /+ � �2�F L UNIT# IS THIS UNIT DISIGNATEb AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER [--.J ,iJ-L(f)t J 1 SLC MANAGER/AGENT / / NO P.O. BOX f I '. '' / ADDRESS // &J(PIdS-W Sly ADDRESS CITY, STATE, ZIP J�71r/� L-q;fzaQ CITY, STATE, ZIP / (f 2 RESIDENCE PHONE J/dp( 6d BUSINESS PHONE (24HRS) b 2 BUSINESS PHONE_Q O'?f a �� TOTAL NUMBER OF ROOMS: c p ROOM USE: L I�I IZ14� 2. g' °�M 3.6 ul 2f Kp M 4. �1 � 5. D� a 6. Eel 7. of 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 PALE T TIME OF INSPECTION yy 1 APPLICANT'S SIGNATURE I DATE r Inspectors use only Date on initial inspection: �3o h Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#_ Check date: . Notes: 05�eV,gbencnt Inspector TRANSMISSION VERIFICATION REPORT TIME 05/31/2012 06: 4^c NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 05131 06:47 FAX NO. /NAME 919787449614 DURATION 00: 00: 18 PAGE(S) 01 RESULT OK MODE STANDARD ECM t - � CITY OF SALEM, MASSACHUSETTS BOARD OF HF 1LTH 120 WASHINGTON STREET 41..FLOOR FublicHeal4h o vr.om,n�.rl Thr.. (978) 741-1800F.a,\ (978) 745-0343 K1MBF1RL13Y DRI SCOLLl, h-amdinnsalem.com LARRY R..1 hil)1N,Rti/RI dl IS,(;I 10,CI'-I'S MAYOR HI'..Al a'l 1 AG ENr CERTIFICATE OF FITNESS CERTIFICATE#387-12 DATE ISSUED: 9/19/2012 Property Located at: 5 English Street UNIT#3 Owner/Agent: 5 English Street LLC/Michael Fahy Address: 11 Windsox Street City/Town: Melrose, MA Zip Code: 02176 24 Hour Phone: 617-835-2075 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 LARR RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PublicHealt & YreveN. I'rumnte. P1011. TEL. (978) 741;1800 FAX (978) 745-0343 KIMBERL EY DRISCOLL Iramdinna,salem.com LAILRY RAMDIN,RS/1t1;1 IS,CHC7,CP-PS MAYOR I4C3A7:PGt A(:.I:i;NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" l_ FEE: $50.00 PROPERTY LOCATED AT J ✓1�i �-�S l CP�� UNIT# 3 IS THIS UNIT D1ISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER ��( L\ S 1 I� LLL MANAGER/AGENTNOP' BOX ADDRESS 1 1 r S't)� SADDRESS YI CITY, STATE, ZIP I ► l�{�VS(j , V [ \ CITY, STATE,ZIP Y ' IC�-b IF I bp� RESIDENCE PHONE qIG66a DD r BUSINESSPHONE(24HRS) S3rad ) BUSINESS PHONE n t� 3 a o-) TOTAL NUMBER OF ROOMS:_ (Q� II D I Q J ROOM USE: 10&4? 2. VGI I 3. Ll J j fYVI4. Rd a 5. ISA 3 6. Kj7. 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 LE AT TIMgPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection:f g Date of reinspection: Date of issuance of certificate: Date fee paid: Type of( nit: Dwelling Other Check# Check date: Notes: Ef0y dQ Co oraement Inspector °mN City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PttbliCH@81th MA 01970 Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-65 DATE ISSUED: 3/7/2017 Property Located at: 9 ENGLISH STREET UNIT#1 Owner/Agent: Elizabeth Coughlan /Marie Bourgoin Address: 7 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUMTTS BOARD OF HEALTH 120 WASHINGTON STREET,C FLOOR TEL. (978)741-1800 KI MBERLEY DRI SCOLL FAX(978)745-0343 MAYOR LRAMDINAPALEM.COM LARRY RAMDIN,RSI REHS,CHO,CP-FS HEALTH AGENT Application for Certificated Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDSOF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT a �i>21 SY UNIT# ISTHISUNIT DISI�GN ED ASIR GHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNERILESSER �b2gtig_A2L_ MANAGERI AGENT ADDRESS 2 :2 ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM OOMSROOM USE: 1. 2. <<vvN 3. 194- 4. h-ld 6. 7. 8. 9. 10. THERE ISA 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 onl Y Dateon initial inspection: 0 3/06120 Dated reinspection: Deteof issuanceof certificatekD�l�0L7 Datefeepaid: (r)310i1�J,7 Type of unit: Dwelling ✓ Other _ Check#_ "Cpheck date: 03/0001Z NotesBoomwi AWrS ggzA '(J/S Wheh 04em a-4 15[2 p[ ✓kms orad ent I 7xkr CITY OF S4LEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASH NGTON STREET,C FLOOR TEL.(978)741-1800 K I MBERLEY DRI SCOLL FAX(978)745-0343 MAYOR LRAM DIN drALEM.COM LARRY RAMDI N,RY REHS,CHO,CP-FS HEALTH AGENT Release In accordance with Musetts General Laws Chapter 111; Code of Massechusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter I I and Art cle X I I I of the City of Salem Ordi rare, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to i nspect the residence i dentifi ed bel ow i n accordance with the aforemelti oned statutes, regul ati ons and ordi na>ces. In the event it is necessary that said inspection be done in my/out absence. Itweexpressly 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 lase or injury sustaiIned of whatever mature and descnption oocaspied by my/out absence during said inspection. Tenant/LOwner/Lessor Address Address Address on unit to be inspected (� 2017 Date Updated SW11 " City of Salem, Massachusetts �us Board of Health 120 Washington Street, 4th Floor, Salem, PubIiCH@alth MA 01970 Prevent.Promote. Preteen. 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-17-66 DATE ISSUED: 3/7/2017 Property Located at: 9 ENGLISH STREET UNIT#2 Owner/Agent: Elizabeth Coughlan/ Marie Bourgoin Address: 7 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. 4n�e�ros �- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SAN IAN CITY OF SALEM, MASSACHUSETTS • e BOARD OF H EALTH 120WA9iINGTON SrREET,4'"FLOOR TEL.(978)741-1800 KI MBERLEY D RI SCOLL FAX(978)745-0343 MAYOR LRAMDINft9kLEM.00M LARRY RAMDI N,Rsf REH$CHO,CP-FS HEALTH AGENT Application for Certificated Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDSOF FITNESSFOR HUMAN HABITATION" pp FEE: $50.00 PROPERTY LOCATED AT q Z iLt4/2//Jf R UNIT# ,;= ISTHISUNITDISII AT``ED//ASRIGHTLEFTFRONTORBACK,PLEASECIRCLEONE OWNER/LESSER /ti l_C'yi&gr n MANAGER/AGENT NO P.O.BOX ADDRESS- 9-P ADDRESS CITY, STATE,ZIP ITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 9V F ;2.7 ^S 3,S BUSINESS PHONE TOTAL NUMBER OF ROOMS:— � // ROOM USE: 1. �� 2. COJ6/f� 3. Yuxs? 4. Aa-p-,,/ 5. k-,A6,_. 6. 7. 8. 9. 10. THERE ISA FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'SSIGNATURE �!!� CvA/2L��1� DATE 1 rwectors use only Dateoninitial inspection: 119A Date of reinspection: Dateof issuanceof owtificate:D Date fee paid:0 Type of unit: Dwel li ng_L/' Other Check# JON Chedc date n 444D"L 7 Notes i w w r'F P neck^, /E; orcein rector � Y CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON SrREEr,C FLOOR TEL. (978)741-1800 KI MBERLEY D RI SCOLL FAX(978)745-0343 MAYOR LRAMDIN(CDMLEM.COM LARRY RAMDIN,RY REH$CHO,CP-FS HEALTH AGENT Release In acoordaioewith MassachusettsGeneralLaws Chapter 111; Codeof Massachusetts Regulation x410.000 et. Seq. ; State Sanitary Code Chapter II aid ArtideXlll of the City of Salem Ordiname, undersigned owner/lessor and tenat/lesseeof a unit of residential property, hereby a thorizethe Salem Board of Heelth or itsa thorized agentsto inspect the resideice identified below in aocorda cewith the aforementioned statutes, regulati ons aid ordinances In the evert it isnecessary that said inspection bedone in my/art absence. I/weecpressiy authorized thesameand for my/our successorsaid assignshereby releaseand discharge the City of Salem, Salem Board of Health aid its authorized agentsfrom any loseor injury sustained of whatever natureaui description occasioned by my/out absence during said inspection. art/ asses Owner/Lessor Address Address Addresson unit to be inspected Date ucdaEdSCM11 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pt>tIth MA Q1970 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-17-123 DATE ISSUED: 4/25/2017 Property Located at: 9 ENGLISH STREET UNIT#3 Owner/Agent: Elizabeth Coughlan /Marie Bourgoin Address: 7 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter it"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. e r ., Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL'IN 120 WASHINGTON STREET,47`FY.00R TEL.(978)741-1800 KIMBFRLEY DRISCOLL FAX(978)745-0343 MAYOR LRAM13IN R�5.4LERI COAT LARRY RAmDIN,RsfREAS,a to,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 t-� c2 f3�`l a J UNIT#_ ,3,_ IS THIS UNITGNATED AS RIGHT LEFT FRON OR BACK•PLEASE CIRCLE ONE OWNERJLESSEMR/AGENT NO P.O.BOX ADDRESS ;� 7� c��,L_ ADDRESS CITY,STATE,ZIP J�2 gyp_ �, t. fRY S'LI ff 0 CITY,STATE,ZIP RESIDENCE PHONE( �.2`3— �BUSINESS PHONE(24HRS} BUSINESS PHONE TOTAL NUMBER OF ROOMS:_,__ ROOM USE: 1, s7 e , 2. Z jzivtR 3. lQzd 4. 'A. p 5. FC fi lr¢�I rtd 7. 8. 9. — J 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE dgi DATE Inspectors use only { Date on initial inspection: Date of reinspection: 71 Date of issuance of certificate: f J�7 Date fee paid-- L Type of unit: Dwelling ✓/ Other Check# Check date: 6 Zf�01 Nates: At -11 C tf cemenk ector CITY OF SNLEM, MASSACHUMTTS • s BOARD OF HEALTH 120 WAS II NGTON STREET,C FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN DEALEM COM LARRY RAMDIN,RJ REH$CHO,CP-FS HEALTH AGENT Release n accordance with M assachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; Sate Sanitary Code Chapter l l and ArtideX l l l of the City of Salem Ordinance, undersigned owner/lessor and tens t/lesseeof a unit of residential property, hereby authorize the Sal em Board of Health or its authorized agents to i nspect the residence identified below i n accordance with the aforementioned statutes, regulations and ordi natces. In the event it is necessary that said inspection be done in my/art absence. Itwe expressly authorized the sane and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents f rorn any lose or injury sustained of whatever nature and description cocasioned by my/out absence during sad inspection. 1 . �k i, T ant/Lessee Owner/Lessor q qfl Q& 5h Steet-,*-3 Address Address 9 t/y y� I^ l cl,�'�' L Yf— Address on Oni t to be i aspected 3 LO Date Uodaec!SW11 Inspect ionof (1-Par{4v6-1 Date Time Name r � �[�,pl /�� ( Address /7 p Owner E�izabeI/h� C9ygA1, o /� t Tel. No. / 2-l'�^ Type of Inspection L.af�CrC-oth, of E neu Inspector JeL�Ielv &11 �S ( ' Remarks and Violations are listed below: r / I Mas � r r Pr roo)km f roomI l✓ oWp/ n f e,rno h, i W W � yn f '- I r ei1 W I 01✓ W vt irl Il ,a `00 5asj� f, ` ec water ` c o�j }n rn j- ed yr oa.�'l1j, wed-O;- W 1 11 Call �e� 40 sc,4gjvL2 a rr -l�lsioe�� 7 �,Aejl 3D . lkiceJ ©var, Report Received by: Lt D Inspection of j� l�'�'N1.11-1' Date � � � Time 4.Q� Name r 1/ Address v Owner pp d K( � 1 Tel. No. Ll CType of Inspection ,,±, Js Bd• 1� F^�T� Inspector ')L__� Remarks and Violations are listed below: `� v r � rr � ^ ' e- W/I AWC` 9r UR Ay� T/�j 4a ire (SSU�.0 SgIMP vur;JoklS�!kcl#3_-3'-Ll __ e S &MA- un 10c" iov-niz IT5L 40 Lie- all 19 reo OA ppej V,,[ ��eT nFrF �� p H/ne✓ S g nT P f: ,Sa �¢ +H Y��a, 60-A U to "2hr ay? r Ger41 r'rcol dr +0Mum- r r � Report Received by: CITY OF SALEM MASSAC:II j , LTSE'1TS BgARD t)i {IF tt1:1'li ""` t20 V(rASIdm�Gro�SI nt t�-i,4"F1:Ue5R ()78)741-1800 [tl t-113[�RLI:Y llRiSCt)I,1. I'AX(978)745.0343 MAYOR i mNllny�j'kr 1;.AIA(J-a tsvtav RAeVfDlti�ILSf RliI95�CI10,GP-1"5 HeAurtI A(;VNr .'. Release k, 3 In accordance with Massachusetts General Laws Chapter t 1.1..Code of Massachusetts.Regulations 410.000 et.Seq.; State Sanitary Code Chapter 11 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 Llealthor its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes;regulations and ordinances: 1n 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 injurysustained of whatever nature.and description occasioned by my/outabsence during said inspection. t Tenant/W. see Owner/L.essor Address 'oALt Bl..t, t �A p{4 Address Address on unit to be inspected Date Updmed 5rJ/I I ° CERT.# 197-01 FEE $25.00 DATE: 04/26/2001 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: 11 English Street UNIT #: 3 OWNER/AGENT: Christine Szczechowicz ADDRESS: it English Street CITY/TOWN: Salem, MA - .ZIP CODE: 01970 24 HOUR PHONE: 744-6550 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" . i THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . ! NOTE: ` THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . I FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • _ �,conm�T j ����0 4 m �A CITY OF SALEM-BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Z/ zA�I�i�S� sT UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER agi- h- D E fw ao;aMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS // � ti/i SA CSI ADDRESS CITY (3A_1e n CITY RESIDENCE PHONE q7F-1)Y L 0154 BUSINESS PHONE (24 HRS.) Q7�-`�44'loS'S21 BUSINESS PHONE- '? TOTAL NUMBER OF ROOMS:�� ROOM USE: 1. 2. 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. C APPLICANTS SIGNATURE DATE 2 U INSPECTORS USE ONLY LT DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - ) G -0/ DATE FEE PAID: !� - a TYPE OF UNIT: DWELLING ' OTHER_ CHECK# / )- CHECK DATE a / NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 $ CERT.# 628-99 s % FEE $25.00 DATE:. 10/21/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 English Street UNIT #: 2 Back OWNER/AGENT: Edward Preble ADDRESS: 41 English Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 785-0140 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 (%) 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. 7FOR THE BOARD OF HEALTH JOANNE .SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i DrIT 12 1999 CITY OF SALEM l / j CITY OF SALEM BOARD OF HEALTH HEALTH DEPT. Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fu:(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 CtlQ U Sh �� UNIT#. IS THIS UNIT DESIGNATED AS RIGH T LEFT FRON BACK�LEASE CIRCLE ONE - 2 OWNER/LESSER �L(V ITYJ J ' �R2O�MANAGER/AGENT No P.O. Box'/ r 1 No P.O. Box ADDRESS S ADDRESS CITY sactri O1 Q 0 CITY ON gx+. UAra+oy, 14 AZ �ay� e - 7e/-76b V13� _ RESIDENCE PHONE qd'P—'&5 -dIVO BUSINESS PHONE (24HRS.) BUSINESS PHONE Cel t_{# �D Z - l a,5- b6 J / TOTAL NUMBER j O�� p FyyROOMS: �D ROOM USE: 1.yAf1' 2. hl�k 3 4. 5� THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE '0 INSPECTORS USE O LY DATE OF INITIAL INSPECTION/0 -1,41 - 415 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:] 94 DATE FEE PAID:Zz2 -2-/ -11 TYPE OF UNIT: DWELLING OTHER_ CHECK# 7:5 CHECK DATE 40 / NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ' OA) Vf� w-(,P/d 1 }- z 1S V- ¢�v eHcLosa�g } C,� f:: 1 zS or'T 12 1999 HS HEALTH DEPT.. .Y Rganqu e ,ap OCT 1 2 1999 CITY OF SALEM HEALTH DEPT. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT - Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary Chat said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agea s from any loss or injury sustained of whatever, nature and description occasioned ... mA�S�by my/our absence during said inspection. 1%4:rk L Cj�0�1kP�'� 01.1. TENANT/LESSER. OWNER/LESSOR 12 &4 L:s� S --- 1 �A �u i S�' . ___ 0 f x`10 ADDRESS ADDRESS ) Z S� Z"° Of ADDRESS OF IT TO BE INSPECTED DATE * xn ., < 'z + r ^'w, v '✓'".r c r. k z �`� x IN C m ��Q�nnva f st CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 09/27/99 Fax:(978)740.9705 Edward Preble P.O. Box 166 Marblehead, MA 01945 PROPERTY LOCATED AT 12 English 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. OR THE BO7JF HEAj,_TH REPLY TO Joanne Scott, M}PPH,RRSS,,C—HO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR v ;J 3 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 Date: 10/24/95 Fax:(508)740-9705 Edward Preble . P.O. Box 166 Marblehead, MA 01945 PROPERTY LOCATED AT 12 English 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. r It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection- Inspection will not be performed without receipt of payment. Failureto comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD O� REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r � o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 9q = TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 352-03 DATE ISSUED: 7/18/2003 Property Located at:: 18 English Street UNIT#: 1 Owner/Agent: Jeremy Bumagin Address: 18 English Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 740-3275 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter It "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. 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. 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. ARD/ H 1� Joanne Scott MPH RS CHO V Health Agent CODE ENFORCEMENT INSPECTOR r' I u CITY OF SALEM, MASSACHUSETTS �.�'���� BOARD OF HEALTH '•' -, • 120 WASHINGTON STREET, 4TH FLOOR 9 SALEM, MA 01970 ,pB� TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR - HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �'�' C's (i JL ,�) . UNIT#-I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER J MK\ \ n MANAGER/AGENT No P.O. Box -� No P.O. Box ADDRESS Lb° F na���� 1 . ADDRESS CITY M A" CITY RESIDENCE PHONE� 'Nz��-3a-�J BUSINESS PHONE (24 HRS.) BUSINESSPHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. �-E2. �V 3. '�rV 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 SIGNATUREA4 )1---�2 DATE ,S b INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7-/tY., 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:? (B '03 DATE FEE PAID: g 3 TYPE OF UNIT: DWELLING\ / OTHER_ CHECK# 3 8 CHECK DATE 2 - t NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR I SALEM, MA 01970 - TEL. 978-741-1800FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT July 92003 Jeremy Bumagin 18 English Street Salem, MA 01970 PROPERTY LOCATED 18 English Street Unit# 1 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m.—4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Joa�MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 38-98 w F FEE 01/27/ 3 G DATE: 01/27/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 18 Encllish Street UNIT #: 2 OWNER/AGENT: Scott Sauchak ADDRESS: 621 South River Street CITY/TOWN: Marshfield, MA ZIP CODE: 02050 24 HOUR PHONE: 319-0146 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 THE BOARD OF HEALTH q_4"Cl_c� JOANNE SCOTT, MPH,RS,CHO -- HEALTH AGENT CODE ENFORCEMENT INSPECTOR Date J Time W LE YOU 'WERE /OUT M Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLEOTOSEEYOU WILLCALLAGAIN WANTSTOSEEYOU URGENT RETURNED YOUR CALL Message 04 ez Operato dtAMPAD 23-021-200 SETS '�1 EFFICIENCY® 23-421-400 SETS CAH LESS i 3k * O 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 HAB//ITArTlION". PROPERTY LOCATED AT_a �ncrl,Sh )7_ 'MT I 2 OWNER/LESSER S1e 2) jj MANAGER/AGENT ADDRESS IZI ,j(�, r ?r- ADDRESS CITY 14a,sk L int /I't/� L O SO CITY RESIDENCE PHONE 78/- 3/,9� BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7?'/- 05� 7/ TOTAL NUMBER OF ROOMS: 57- Room .ROOM USE: I. Lt? 2. }Z. 3. ji't 4 . B/? j 5. l39Z b. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM'B$AI.TH DEPARTMENT THIS FEE IS P YABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE ���{ DATE / 2 7 s INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:4L2r(? DATE OF REINSPECTION_INSPECTION___­ DATE I � DATF. OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:-� � -t--=- �-',y TYPE OF UNIT: DWELLING,,] OTHER NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS Y BOARD OF HEALTFI 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGU;F-,NBAUM(a7s uain4.Cc)M DAVID Gm.UNRAUM,RS ACTING Hi.:ALTI-I AGENT , CERTIFICATE OF FITNESS CERTIFICATE#43-11 DATE ISSUED: 2/4/2011 Property Located at: 22 English Street UNIT# 1 Owner/Agent: Chalifeur LP/Mary Woodcock Address: 20 Belleview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-943-6920 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 BOA F HEALTH DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASIILG-I'(.)N S I REE'r,4T" I;Locul TEL. (978) 741-1800 KIPMI3FRI F,Y DRTSCOLL F-,N (978) 745-0143 MAYOR DGIu?LNBaJM SAL :It.CONT DAVID GREENBAum,RS 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 UNIT#—L IS THIS UNIT DISI ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER L bGiL– MANAGER/AGENT NO P.O.BOX A ADDRESS 2 fJCr� ADDRESS CITY, STATE,ZIP t. i11� AAA n I`l /O CITY, STATE,ZIP RESIDENCE PHONE / ry BUSINESS PHONE(24HRS) BUSINESS PHONE a� 9,:13-(P20 TOTAL NUMBER OF ROOMS:-1f5f^ ROOM USE: 1��1 I�1" 1 2. I 3. IDL> 4. by 5. 6 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAY LE B HECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS P ABLE T TH T E OF INSPECTION APPLICANT'S SIGNATURE DATE f Inspectors use only Date on initial inspection:_ al //� Date of reinspection: Date of issuance of certificate: y I Date fee paid: Type of unit: Dwelling Other Check# /3 L/7 Check date: a y Notes: Code El" I orcei ent Inspector t . CITY OF SALEM; MASSACHUSETTS lu BOARD OF HFs1LTH 120 WASHINGTON STREET 4"�FLOOR PablicHealth Prevml.Promote.Pro,eec. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL ILamdin@salem.com L,vluly'R,vmmlN,RS/ars1JS,ci io,cr-rs MAYOR Hi?r\I:1'FI ACI?;N'I' CERTIFICATE OF FITNESS CERTIFICATE#60-13 DATE ISSUED:2/4/2013 Property Located at: 22 English Street UNIT#2 Owner/Agent: Chalifeur FLP/Mary Woodcock Address: 20 Bellview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-943-6920 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 LARRY RAMDIN HEALTH AGENT SANITAFTrAU C �k f a CITY OF SALEM, MASS.NCHt)STT I'S BNGT N' I-IEEr, 7 120 Was[3zNGT(IN Sz'xisrt 4"'FI:(zox Publiclieal, f Prwen.I'rnmmc.PMIn•1. TEL- (978) 741-1300 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdina,saIc—mc am MAYOR L,ixx��izn Nft�1N,1tslxr.[IS,(�I1o,(.[r-[�S 1-11iA7;C11 A(:[N,r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 414.004 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT7%t T UNIT# IS THIS UNIT DISI ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE O E OWNER/LESSERy \�c�C�, L MANAGER/AGENT. NO P.O. BOX �,� �-���)LL� ADDRESS (� tQ\`Q�� f��� T ;4DDRESS r ^� CITY, STATE,ZIP_ �{ ' ( j }�.+vITY, STATE 2II'- 11 50� RESIDENCE PHONE CV) S- �t� �y� J` tr}�7i[I�F3SINESS PHONE(24HRS)T.. BUSINESS PHONE_—q/?) "�I'A�`�92.L.}-� TOTAL NUMBER OF ROOMS: ROOM USE: IACAA 2. —�' 3. V. $)02 & 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 useo� CDate on initial inspection: 114 /13 Date of reinspection: Date of issuance of certificate: _ Date fee paid: Type of unit: Dwelling Other J_Check �Check date: Notes: ��jr a (c�l►� u I O S SV1 i f tbckC Cod [ cement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET"4."FLOOR PablicHealth r.r. n,.rrnmme.rmim. TEL. (978) 741-1800 FAx (978) 745-0343 KIMBERLEY DRISCOIJ Iramdin e salem.com L�AIiRY R.A�1DIN,RS�RL',IIS,CFIO,CP-FS MAYOR HEALTH A(3 FNP CERTIFICATE OF FITNESS CERTIFICATE#293-14 DATE ISSUED: 9/2/2014 Property Located at: 24 English Street UNIT#Cottage Owner/Agent: Chal four Family L.P. Address: 20 Bellview Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-943-6920 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH 120 WASHINGTON STREET 4°t FLOOR P61icHealth Prevent.Promote.Protect. TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin&salem.com LARRY"RANI DIN,RS/REHS,CHO,(:P-FS MAYOR - HEALTFI 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" n FEE: $J50.00 T7 PROPERTY LOCATED AT ��I � '1 S�1 0<1 R_ UNIT# IS THIS UNIT DISIG `ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER NVA SF A i>t r It l MANAGER/AGENT NO P.O.BOX i / �/ ADDRESS 2C� P2D I(IP`i/Ill i� � — ADDRESS SG�, CITY, STATE,ZIP , "� n167C CI Y, STATE,ZIP g RESIDENCE PHONE q S43`�`/12U BUSINESS PHONE(24HRS) r BUSINESS PHONE C C TOTAL NUMBER OF ROOMS. ROOM USE: I. Kk27'ITTI I V 4. 5V,2J 6. 7. bnkh 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 AYABLE AT THE TIME OF INSPECTION nn APPLICANT'S SIGNATURE DATE / Inspectors use only Date on initial inspection: �l a�Z{ Date of reinspection: Date of issuance of certificate: Date fee paid: II Type of unit: Dwelling—Other—Check# I l_Check date: a / 7 Notes: Code'Lenf&p6ment fnspector a � 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHOq NINE NORTH STREET HEALTH AGENT 21 a q ' I q y�� Tel:(508)741-1800 Date: 03/26/97 I 0�7 _ Fax:(508)740-9705 Thomas & Christine Uellner 34 English Street T J Salem, MA 01970 PROPERTY LOCATED AT 34 English Street UNIT # 4V Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit- Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410 .000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department . This fee is payable at the time of inspection- Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department . Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE , .BOARD OF HEALTH REPLY TO Joanne Scott, MPH, RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR " CITY OF SALEM, MASSACHUSETTS BOARD OR HEAL'I' i 120 WASHING roN STREP.,,41'L()OR TFx.. (978)741-1800 KIMBFRLEY DRISCOI Ft+x(978)745-0343 MAYOR kamdint&s_atem.coLn LARRY RAWIN,RS/RBHS,(;FIC),CT-PS HFAIA1 I At)B,NT CERTIFICATE OF FITNESS CERTIFICATE#205-11 DATE ISSUED: 6/23/2011 Property Located at: 36 English Street UNIT# Owner/Agent: Daniel Shaman Address: 38 English Street Cityfrown: 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 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 BOAR OF HEALTH LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + BOARD OF HEALTH 120 WASHINGPON STREET,4°1 FLOOR TEL. (978) 741-1800 ✓� KIMBERJ:EY DRISCOU, FAX(978) 745-0343 MAYOR 1AAMDIN(RSAI-L?M.COM LARRY RAMI>IN,RS/RGHS,CHO,CP-I-S Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FI-EE: $50.00 �" 1 PROPERTY LOCATED AT OS t 13 "` ��' Jcl leAl� UNTI# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER D4hrQi S ��wt�h MANAGER/AGENT ADDRESS 38 htJ�I S� S� ' /1 ADDRESS CITY, STATE, ZIP M'-9`� ()IQ ?0 CITY, STATE,ZIP RESIDENCE PHONE 92E-7(1/-Z7-Z?- TOTAL G /7,q- 30 o BUSINESS PHONE(24HRS) BUSINESS PHONE 110-7`1 /-Z7-Z2 TOTAL NUMBER OF ROOMS: CCSS ROOMUSE: 1. V`� 2. 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---k— � DATE 6/ -3 111 " d I Inspectors use only l.Y Date on initial inspection: ' . l I l Date of reinspection: Date of issuance of certificate: U vt / / Date fee paid: to // / Type of unit: Dwelling ✓Other Check# iCheck date: l� Notes: ad� (61-bLn iLr bGC,- l-` . Code nfor ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH "l 9 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745=0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/17/05 Matthew McGivney 36 English Street Salem, MA 01970 PROPERTY LOCATED AT 36 English Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in - which cross-metering has been proven to exist. F90he Board of HealtReply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector M1 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 12/27/99 William Hill & Noella Gonzalez-Hill 31 Claremont Terrace Swampscott, MA 01907 PROPERTY LOCATED AT 36 English Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with. 105 CME; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas. and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE i - o nne BOoARDH REPLY TO ,C�PH, HO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR DDNDtq,�� City of Salem, Massachusetts m Board of Health 9 R= 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-198 DATE ISSUED: 6/3/2016 Property Located at: 38 ENGLISH STREET UNIT# Owner/Agent: Dan Shuman Address: 14 Tufts Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(978) 979-3865 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 w` CITY OF SALEM, MASSACHUSETTS BOARD OF HrALTII 120% ASI IINGTON S1Rrrf,410 FLOOR Tru. (978) 741-1800 KIMBERLEY DRISCOLL FAX(97/8) 745-0343 MAYOR LRAI`ti)INCa)SALEM COM LARRY RAivIDLN,RS/REI-IS,CHO,CP-rs 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" 1 1 FEE: $50.00 /, PROPERTY LOCATED AT 3 � I S`� �� ,��✓ti f� C, UNIT# (�IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER b'� 1 t ('t1 MANAGER/AGENT NO P.O.BOX (1 ` ,_ y ADDRESS N Tp��fi"I7 rS•T�- ADDRESS CITY, STATE,ZIP I" tla�l�hs�4��Nl' (r\9 CITY, STATE, ZIP RESIDENCE PHONE T7y�i-9�1I' 6� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: C f ROOM USE: 1. L—''VL"S 2. �y�i r f 3. �t V ect 4. k��C�� 5. Mei J7'rvl- 6F 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 PA ABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ,,�X )� DATE 0?-A6 Inspectors use only Date on initial inspection: C6. 62/)(gg Date of reinspection: Date of issuance of certificate:© Date fee paid:09/0247A Type of unit: Dwellin Other Check#_Check date: 06fi�21p4i Notes: C A n rcemen� Spector MIPB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 12/27/99 Fax:(978)740-9705 William Hill 31 Claremont Terrace Swampscott, MA 01907 PROPERTY LOCATED AT 38 English Street UNIT # 2nd floor 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. • FO THE BOARD OF TH REPLY TO e 0 PABLO VALDEZ H alth Agent CODE ENFORCEMENT INSPECTOR ' v6��orlurr � l� CERT.# 405-00 a r FEE 25.00 DATE: 006/27/6/27/ 2000 9��7MIN6 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: 40 English Street UNIT #: 1 OWNER/AGENT: Alicia Diozzi ADDRESS: 40 English Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1460 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 yOFF HEALTH `OANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR nmi v��cor � � � dD �� 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 FOUR HUMAN/,tI,HABITATION". k PROPERTY LOCATED AT q0 �/l `5Z UNIT#1 61 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERIi r^a G 1 )i�ZZ( MANAGER/AGENT No P.O. Box //�� ( No P.O. Box ADDRESS V / c h�1ADDRESS CITY �,eu� ✓�iI CITY RESIDENCE PHONE q'�C 7Yq A40BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:'' � II II ROOM USE: 1.-L.g�2. MA4 1_06II 3. 4 5. 6A lur 6._T_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. /J APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION d,27JAo DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: e© DATE FEE PAID: /2?A TYPE OF UNIT: DWELLING`OTHER_ CHECK#CHECK DATE a� NOTES: /v"/- COD ENFORCEMENT INSPECTOR 9/28/98 a s 3 r 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 t.tie City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. l � � TENANTjL"SSEF: OWNER/i.ESSOR ADDRESS ADDRESS ADDRESS OFU6ft TO BE INSPECTED LL�� DATE , r CERT.# 197-97 " FEE $25.00 �Il'. Fs DATE: 04/03/97 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: 40 Enalish Street UNIT #: 1 _ OWNER/AGENT:Brian O'Neill ADDRESS: 88 County Road CITY/TOWN: Ipswich, MA ZIP CODE: 01938 24 HOUR PHONE: 356-3953 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410. 000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 1� fp s 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 J(f" s{Y¢a UNIT I , OWNER/LESSER j r_( Gv, MANAGER/AGENT ADDRESS O Go(Ap% y Y?o ,c"� ADDRESS CITY ( W l c , , /11 CIT RESIDENCE PHONE �t53 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 3 I g 0 — TOTAL NUMBER OF ROOMS: (y,r ROOM USE: 1 . 2. 5. fls 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPr�AP�S�SPAYABLE AT THE TIM OF INSPECTION � t �� APPLICANTS SIGNATURE DATE Y� t�,� L Z(, tff'"7 /INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: C( ,.'� DATE OF REINSPECTION _' DATE OF ISSUANCE OF CF.RTIFICCAAtT"E:_ ' `"_3__ DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR A M1 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 03/27/97 Fax:(508)740-9705 Brian O'Neill - - 88 County Road Ipswich, MA 01938 PROPERTY LOCATED AT 40 English Street UNIT # 1 Dear Sir/Madam: . It 'has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to ,contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400 .00; State Sanitary Code, Chapter 1 : General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334,. Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department . This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. - Contact this department within 24 hours of receipt of this notice (508) 741-1800 Monday thru Wednesday from 8:00 a-m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a-m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY Very truly yours, , - - FIIOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CERT.# 214-97 3 X FEE $25.00 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: 46 English Street UNIT #: 2 OWNER/AGENT: Charles Hildebrand ADDRESS: 46 English Street #1 CITY/TOWN: Salem. MA ZIP CODE: 01970 24. HOUR PHONE: 741-4222 - AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND -IS IN COMPLIANCE WITH 105 CMR 410 . 000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE _ SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE,` CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE'LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS,CHO - HEALTH AGENT - - CODE ENFORCEMENT INSPECTOR r CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(506)741-1800 APPLICATION FOR GERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORHUMAN HABI/TATIION". PROPERTY LOCATED AT t t1/ �j (,S 1 tt S iT UNIT I ' r OWNER/LESSER C. =GS j � �aQG S ,r� MANAGER/AGENT /40- ADDRESS F, L sL S* ( ADDRESS CITYCITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE �s .- `f`f -6 ,23y TOTAL NUMBER OF ROOMS:_`? ROOM USE: I. � . to 3, t ,L I 4, z e. 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 DEPTT THIS FEE IISS� PAYYABJW AT THE TIME OF INSPECTION APPLICANTS SIGNATURE/tet ` = =—SCG? ` DATE�� G�— INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:��' �= _DATE FEE PAID: "r( �-7 TYPE OF UNIT: DWELLING OTHER NOTES ,'ju 15To a , CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 12.0 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#534-04 DATE ISSUED: 12/10/04 Property Located at: 48 English Street UNIT# 1 Owner/Agent: Tom & Glenda Doran Address: 48 English Street, Apt. #2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-6142 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter IP'Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR T^ L4zi�Yl HE BOARD OF HEALTH1;9e,0 VXv JOANNE SCOTT, MRH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a * CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH / • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT S UNIT#1 IS THIS UNIT DESI��GN//ATED A 'RIGHT LEF FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER (4ei70jy 0/"/Z/MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 5�Y �i7�Li S� Sj- /-3-_&,Z-.2_ ADDRESS CITY Imo-, G 7O RESIDENCE PHONE`9 rJ 7W-k/ .lSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1,Kt ni 2L Vih �Sr„ �GA2rya, b ey!l2ae_�`� 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't�� , - `Z� ._DATE / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/-)- -0DATE FEE PAID:_ o TYPE OF UNIT: DWELLING/ OTHER__ CHECK#_57,±_,� CHECK DATES NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98