ESSEX STREET 1-99 City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, PubliGHealth
MA 01970 F'111m P"..tr Pmteci
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343
Larry Ran-din, MPH, RENS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16-302
DATE ISSUED: 8/16/2016
Property Located at: 2 ESSEX STREET UNIT#1
Owner/Agent: Alice Terry
Address: 7 Scenic Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 778-4805
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.
&effr �
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT SANITARIAN
I
CITY OF SALEM, MASSACHUSETTS
" BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRADQRZ(a)SALBRLCUM
LARRY RAM AN,RS/REHS,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 C - /�
PROPERTY LOCATED AT 02— Z5 5�'X � ( K C m - 1 j�/�� fT UNIT# I
JAI`S THIS UNIT DLSIGNATED AS RIGHT LEFT FRONT OR BACK,PLEMEECCIRCLE O
OW7T 1NER/LESSEER 1 G E. l e V'Y' q MANAGER/AGENT C l I G'v e-
ADDRESS / Scev)l c- A-�rehVle- ADDRESS c3 /L7L�vt i lil 9 S�
CITY, STATE,ZIP 1e M. M !� CITY, STATE,ZIP L 0.`e-ym
Q
RESIDENCE PHONE /76 -/778- 148,O5"BUSINESS PHONE(24HRS) � 7 O 7 Y V - c37ktP
BUSINESS PHONE 9 -79, -7(4q - q(p b�
TOTAL NUMBER OF ROOMS: (_2
ROOM USE: 1. L)V i tl9 2..k t�- yg. v 1M 4. 5.
6. v 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 OF INSPECTION
C Q
APPLICANT'S SIGNATURE DATE OO
InsRectors use
Date on initial inspection: M/1.57Y202A Date of reinspection:
Date of issuance of certificate:6 X Date fee paid: 0FIL 12026
Type of��//unit:
n Dwelling ✓ Other ( h
Check# 3ol7 Check date: 5m.57l20LjC /
Notes:�Ifiet,r nfnnjoy �c rr4h� nes- o' IL/ "6- r in wihjolz I� L, j chv f,
ini
CoFief ent ector
. CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
ICIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRrN,NRAunaOS.ALEM.COM
DAVID GREENBAum,RS '
ACTING 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/outabsence
during said inspection.
ev� C
A Ci cQ-
Tenant/Lessee� Owner/Lessor
7 Scen'iC ire Sa( erv�
Address Address
Address on unit to be inspected
DSII �ll�
Date
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"°FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL Fax (978) 745-0343
MAYOR ucllreNlinu rnnsel.r•:rot.coni
DAVIU Giu3i;NRAUh1
A(�1'ING HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #257-09
DATE ISSUED: 6/5/2009
Property Located at: 2 Essex Street UNIT#2A
Owner/Agent: Alice Terry
Address: 7 Scenic Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1323
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 F EALTH
DAVID GREENBAUM
ACTING HEALTH AGENT CO EN RCEMENT INSPECTOR
Jun 04 09 01 : 10p Joanne Scott Salem BOH 978 745 0343 p, 2
CTTY OF SALEM, MASSACHUSETYS
13t1;\mol, H1G\la'II
120WASIHNGTON TRf'.Fil',4°" H.OoR
1LI..(978) 741-1800
KIM130111-W DRISCOLL F.\x(978) 745-0343
MAYOR nr. u .iNr(n yra;lt CONI
].\Nr:r NL\NCANI,
Ac:TrNG HF,wrra Ac;INT
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: $/SO.00
PROPERTY LOCATED AT C11 a_r �1 �fi - _UNf
IS'i' tsU' rrDl tGNA' eDASR'OfF[TLENTI'RONTOl2�ACK PLEASE CIRCLE ONE
OWNEWLESSTR_. _MANAGER/AGEN'i'
NO P.O. BOX
A1-11)RF.SS_ �,/kf ADDRESS
CITY, STATE, ZIP-- 67/ 97L_CITY, STATE, ZII'
RESIDENCE PliONE�;7;`;Z�/�/— n :5a(, BUSINESS PHONE(24HRS)"
BUSINESS PIIONEr '
TOTAL NUMBER OF ROOMS:
ROOM LIS)--,:
b. 7. R. 4. 10,
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FETE ISPAYABLE AXTHE
TIME OF INSPECTION J� g
APPLICANT'S SIGNATURE � e'-� fi v` DATV�
Inspectors use Only
Date on initial inspection: q Date of reinspection:
Date of issuance of certificate: Date fee paid: Vo *
Type of unit: Dwelling?--Other_ Check## � � r' Check date: (P �(� r7
Notes: n 5C( eil.�r �_�� �r� CA&I . 4t VA 4p,- ,n Ail .. "b
C1 r
Code Enforcement Insp for v t
Jun 04 09 01 : 10p Joanne Scott Salem BOH 978 745 0343 p, 3
r
C11Y OF SALEM, MASSACHUSETTS
Ili mm of ]]r•,u..1 tl
12171C':\stnNcrc7NSt'I21a:r,4 ' I�L<x�it
'17:1., ;9781 741 1804)
KINMEl U-N DRISCC)11. 1,.\X(978)745-0343
M WOR I\i\NCIM(RiS,NEFNL
JAN-11'A1.\NONl,
AC'ru\ic HE.\ur' i Ac rt'
Release
1n accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ;
State^Smitary Code Chapter 11 and Article X111 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 fi'om any lose or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
105 U-
Tstt,ant/L,essea, ,. Owner/Less r
pi. 24 l Seem M4. 010116
Address Address
Address on unit to be inspected
- /0q
Date
t
CITY OF SALEM, MASSACHUSETTS
` t BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978)741-1800
KIMBERLEY DffiSCOLL
FAX(978) 745-0343
MAYOR ISCOIT(a)..SALEM.COM
JOANNE SCOTT,
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#335-08
DATE ISSUED: 7/30/2008
Property Located at: 2 Essex Street UNIT#26
Owner/Agent: Alice Terry
Address: 7 Scenic Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0526
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 9F HEALTH
qJO"ANNEOTT MPH RS CHO 9U4&Ln2eL
HEALTH AGENT COE ENFORCEMENT INSPECTOR
• CITY OF SALEM, MASSACHUSETTS 33��&
BOARD OF HEALTH
/ 120 WASHINGTON STREET,4°'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR ISCOITRISALEM.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."
��^ 4-/FEE: $50.00
S--
PROPERTY LOCATED AT t A a3 UNIT#
IS IS UNIT DISIGNATED AS RIGnMLEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSERpik- 0ezCITY,
MANAGER/AGENT
NO P.O. BOX ADDRESS ;7 ��: C°, ADDRESS
CITY, STATE, ZIP STATE,ZIP
j
RESIDENCE PHONE-7�/V— 6L5'21 BUSINESS PHONE(24HRS)
BUSINESS PHON6f-2 9 035
TOTAL NUMBER OF ROOMS: -3
ROOM USE: 1. 2. o is3. /�/ %C1�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 TIMOF INSPECTION
APPLICANT'S SIGNATURE_, DATE7--?u--a 97
�l3%
Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# 7 / Check date:
Notes: � LnktIk Vrcu l (-,�P C e
o nforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
e SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#236-05
DATE ISSUED: 4/13/05
Property Located at: 3 1/2 Essex Street UNIT# 1
Owner/Agent: Peter Copelas
Address: 135 Boston Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-3007
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
JOATINE 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 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
(H�ABITATION".
PROPERTY LOCATED AT 7 7/9/ 1 �44Z/71' ) UNIT#
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER /' MANAGER/AGENT VP '
No P.O. Box ,✓ No P.O. Box
ADDRESS 1-35 S / ADDRESS
CITY CITY /�
RESIDENCE PHONE �7P-3/9- '/G'�BUSINESS PHONE (24 HRS.) 7 2�7/5/ ; p��
BUSINESS PHONE
TOTAL NUMBER OF ROOMSS
ROOM USE: I. 2.�3. 4.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. !L
APPLICANTS SIGNATURE DATE T �Z
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION '�'( )- `° �� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: q - r Z >�
TYPE OF UNIT: DWELLIN _OTHER_ CHECK# ./ b 7 CHECK DATE / z
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
e
BOARD OF H[vkr:rl-I
120 WASHINGTON STREU,4"°FLOOR
ICMBLR1.13Y DRISC01.1, TFL. (978) 741-1800
MAYOR FAX (978) 745-0343
lramdin2salem.com
1,\RRY RA NIDIN,RS/R1:1 IS,CI IO,(T*S
HI ,\I:n I A(i 1''.N'1'
CERTIFICATE OF FITNESS
CERTIFICATE#233-11
DATE ISSUED: 7/25/2011
Property Located at: 3 1/2 Essex Street UNIT#2
Owner/Agent: Peter Copelas
Address: 135 Boston Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5074
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 CODE ENFORCEMENT INSPECTOR
e CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
I IMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUNInaSM.F.M.COM
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: 550.00
PROPERTY LOCATED AT 34 G f5-4'16� SG UNIT# L
IS THIS UNIT
/DISIG�NA/TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER � e/ C ��� L� MANAGER/AGENT
NO P.O.BOX / //
ADDRESS l j �5 J�Sr�71 S� ADDRESS
CITY, STATE, ZIP � evn m'/1 CITY, STATE,ZIP
RESIDENCE PHONF 97R 317 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 FEES PAYABLE AT THE TIMEO INSPECTION
APPLICANT'S SIGNATURE II /le��, ,(� (Z� c� DATE 7' 75--//
U Inspectors use onlv
Date on initial inspection: 7/AS) / I Date of reinspection: —�
Date of issuance of certificate: -7/aj /11 Date fee paid:
Type of unit: Dwelline �ther Check# t 3(0 YS Check date:
Notes: .4Ui(\- (&(A1/L hCA- 1Alcl4-er r)NG- J " F�) tllXbOn MC/10k4(A-
10rY . v
Code En orcem t Inspector
SND City of Salem, Massachusetts
� • i
Board of Health �i':�p���
120 Washington Street, 4th Floor, Salem, Ptetent h0inot! ProleCt
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-17-101
DATE ISSUED: 3/31/2017
Property Located at: 4 ESSEX STREET UNIT#1
Owner/Agent: Johnny Jimenez
Address: 61 Piedmont Street
City/Town: Lynn, MA Zip Code: 01904 24 Hour Phone:(617) 791-4173
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,40'FLOOR
TEL (978)741-1800
KIMBF.RLF.Y DRISCOLL FAX(978) 745-0343
MAYOR LRAmniNf@sALEm.com
LARRY RAMDIN,RS/RAHS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MIND"STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATEDAT G� SSG' S r UNIT#--J—
IS UNIT DISIGNATED AS RIGHT LEFT'FRONT OR BAC PLEASE CIRCLE ONE
OWNER/LESSER .J 111�' NGS 7. MANAGER/AGENT
NO P.O.BOX
ADDRESS (91 V E, 1l-- 0/II 'r 5 t ADDRESS
CITY, STATE,ZIP Z-1,P�UASS t9 yd Y CITY,STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 4. 5.
6. 7. 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 THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATF
2 I I Inspectors use only
Date on initial inspection: I J l L22� Date of reinspection: II 6�
Date of issuance of certificate: 'V �� Date fee paid: 6 L
Type of unit: Dwelling Other Check# g7a Check date: 17�
Notes:
Code rcement pector
Inspectior,of Date rn� Time nm
� 1
Nam- Address LA
Owner 11�r �.���/\ lI I U/ _ _ _ r (�7 Tel. No. _ Vim
/� o
Type of Inspection l l � \ Inspector / Vi /� (1-e
� v
( ' ) Remarks and Violations are listed below:
f (!exfiwi eof �6&as d,4dat& ar)a dot
w
-£-h;rno. c� Plnl��Pc�V
Report Received by:
D
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem,
Health
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-17-58
DATE ISSUED: 3/2/2017
Property Located at: 4 ESSEX STREET UNIT#2
Owner/Agent: Johnny Jimenez
Address: 61 Piedmont Street
City/Town: Lynn, MA Zip Code: 01904 24 Hour Phone:(617) 791-4173
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, CHOJ
HEALTH AGENT SANITARIAN
�o ///ovC"IjDy4kV CDr/
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4°1 FLOOR PubhCHealth
> Prevent Promote Protect.
TEL. (978) 741-1800 FAX (978) 745-0343
KIMBERLEY DRISCOLL IramdinQsalem.com
MAYOR LARRY RA MIN,RS/RE IIS,CI-10,CP-FS
HI..\I:nj 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 4 SSr;JC 'a>T UNIT#__2,__
�IS IS/UNIT DISI" TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER _J 00A�y //`l/_% �2, MANAGER/AGENT
NO P.O. BOX _
ADDRESS—L I P_ 11 n�T of ADDRESS
,.f�A.ss o19oy
CITY, STATE,ZIP ' CITY, STATE,ZIP
RESIDENCE PHONEA; /47�//T �BU/SINESS PHONE(24HRS)
BUSINESS PHONE 1�s�2,�1- �f� fbN
TOTAL NUMBER OF ROOMS: .Z
ROOM USE: 1. n22 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
2 / Inspectors use onlv
Date on initial inspection: r� j Date of reinspection:
Date of issuance of certificate: 51 Date fee paid:
Type of unit: Dwelling Other Check# Check date: L�
Notes:
IL-J/S&7
Code En"orcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR A1Uent�CHC8I1rh
TEL. (978) 741-1800 Fax (978) 745-0343
KIMBERLEY DRISCOLL Iramdina..salem.com
MAYOR LARRY RADfllIN,RS/lil?I-IS,CI]U,CP-ISS
HEAj,'n I 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.
Tenant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
Updated 523/11
City
0 of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem, Pt1b1�CHeellth
rpNn
MA 01970 Prevent.Promote. Proleoi
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-17-131
DATE ISSUED: 5/3/2017
Property Located at: 5 ESSEX STREET UNIT#
Owner/Agent: Jane Fraczek
Address: 5-1/2 Essex Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-7570
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°f FLOOR �11CHC$1 h
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lramdinnn salem.com
MAYOR L:VtR]'R:\MUIN,RS/ItEI1S,CI-IO,CP-PS
I1EAl;1'1-1 AGI?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"
FEE: $50.00
PROPERTY LOCATED AT 3 ErSO X ST UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER.Tane d AIPYq>► e4- r—ze K MANAGER/AGENT SA n, e
NO P.O. BOX
ADDRESS s. ES.rex Sf ADDRESS
CITY, STATE, ZIP .512 /p vn
AcL 019 -70 CITY, STATE,ZIP
RESIDENCE PHONE R71-7 YS-7S'r)o BUSINESS PHONE (24HRS) 74-70
BUSINESS PHONE 97,? -7 YS--
TOTAL
J-TOTAL NUMBER OF ROOMS: -I
ROOM USE:
6. 7.6 8. 9. to.
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 ?.--L. J: DATE 5'-0 -/ 7
/ (/ Insnectors use onlv
Date on initial inspection: 510bz&)1 7 Date of reinspection:
Date of issuance of certificate:�7 Date fee paid:-t,-162.12o-17
Type of unit: Dwelling_L/ _Other Check# Check date: 57/'94/�201 7
Notes:
Co o ement Ins for
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH ��
120 WASHINGTON STREET,4-�FLOOR Yr orni.➢omote��P`oftOt
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lramdin(asalem.rom
MAYOR - LARRY RAMDIN,RS/RBHS,CI IO,CP-FS
HEALTH AGENT
Release
In accordance with Massachusetts General Laws Chapter I 11; 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.
Tenant/Lessee Owner/Lessor
Address Address
Address on unit to be inspected
Date
Updated 523/11
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
6
120 WASHINGTON STREET, 4TH FLOOR
o' SALEM, MA 01970
.y� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
6/1/05
Paul Boyd
6 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 6 Essex 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
t., `_
(4anne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
co r CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
03/21/2002
Paul Boyd
6 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 6 Essex Street UKIT # 3
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
44THE BOARD ' HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
IL
.�o CITY OF SALEM, MASSACHUSETTS
g� X. BOARD OF HEALTH
93 120 WASHINGTON STREET, 4TH FLOOR
spa_ 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#: 436-03
DATE ISSUED: 8/21/2003
Property Located at:: 7 Essex Street UNIT#: 1
Owner/Agent: Elizabeth Coughlan & David Heisler
Address: 7 Essex Street#2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4087
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.
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.
WR THE BOARD OF HEALTH /
Joanne Scott, MPH, IRS'bhCVH`O— /✓7J/�
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH /
3�'
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
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 Y 5� f V �� UNIT#1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
g/izab 41 C'ouykla O
OWNER/LESSER . ak.0j s92 f MANAGER/AGENT-hp vIv
No P.O. Box No P.O. Box
ADDRESS q <S 2X Ct # ,,L ,ADDRESS
CITY -5a I.Q ✓2'? CITY /W40/ 9-401
RESIDENCE PHONE 9�g BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 9 K -
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. ��3. J 3 4.
5. K1 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 '5?
INSPECTORS USE NLY
DATE OF INITIAL INSPFCTION C DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:Q J' 5 DATE FEE PAID: Sf'a 1
TYPE OF UNIT: DWELLINI OTHER_ CHECK# / 9 7 CHECK DATEg--A-I -o�
NOTES: Jx\
CODE ENFORCEMENT INSPECTOR 9/28/98
vg��ON01
� 3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO 07/30/99 NINE NORTH STREET
HEALTH AGENT Tel:(978)741.1800
Stacia MacDonald, Alice Maga c/o Jozefa Dzierzak Fax:(978)740-9705
7 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 7 Essex 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.
R THE BOARD O)f HEALTH REPLY TO
r
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
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:(978)741-1800
Date: 07/29/98 Fax'(978)740-9705
Warren Five Cents Savings Bank
10 Main Street
Peabody, MA 01960
PROPERTY LOCATED AT 8 Essex Street UNIT # House
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. (978) 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 METFRING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF 'HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
08/06/2001 Fax: (978)745-0343
Warren Five Cents Savings Bank
10 Main Street
Peabody, MA 01960
PROPERTY LOCATED AT 8 Essex 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 BOARD HEALTH REPLY TO
qOR
oanne Sc t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
130ARD OF HEALTH
120 WASHINGTON STREET,41°F]-O()R
fEL. (978) 741-1800
IQMBERLEY DRISCOLL FAX (978) 745-0343
MAYOR lramdin0salmnxom
L,V2RY R VDIN,RS/RF1 IS,C1 10,C114S
I-IUAT'rii A(:iwi'
CERTIFICATE OF FITNESS
CERTIFICATE #259-11
DATE ISSUED: 7/29/2011
Property Located at: 9 Essex Street UNIT#2
Owner/Agent: Elizabeth Coughlan
Address: 7 Essex Street#2
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 �A
LARRY RAMDIN
HEALTH AGENT CODE EN RCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
�ti�
BOARD OF HEALTH
120 WASHINGTON STREET,4:` FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR 1.12AMDIN[OSAI.FM.COM
LARRY RAMDIN,RS/REHS,CHO,CP-F'S
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"
q FEE: $50.00
PROPERTY LOCATED AT ---So l D of &X Ol Q-10 UNIT#,2 _
IS THIS UNIT DISI��GIINATEID AS RIGHT LEFTFftbriT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT -1110n-A,
NO P.O.BOX �T—
ADDRESS ADDRESS
CITY, STATE,ZIP �Qg Yfig O i Q 4 0 CITY, STATE,ZIP
RESIDENCE PHONE USINESS PHONE(24HRR)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOMUSE: 1.&4C4kgm 2.a1 Za 3. �ieN_ 4. Lv&-),R 5.
6. 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 7 DATE -12*606(
i
Inspectors use only
Date on initial inspection:_ / I Date of reinspection: i
Date of issuance of certificate: I Date fee paid:
Type of unit: Dwellin��r Check#Check date:
Notes:
3
Codent<ce entlnspector
• 4 CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR 1.11ANMINOSALUNt.cOM
LARRY RAMDIN,RS/REHS,CHO,CP-FS
HEALTht 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 losg or injury sustained of whatever nature and description occasioned by my/out absence
during said inspection.
T ssee Owner/Lessor J
Address Address
9`v _ax
Address on unit to be inspected
Date
Updated 5/23/11
City of Salem, Massachusetts
Board of Health
9
0120 Washington Street, 4th Floor, Salem, Pu
blicHealthh
MA 01970 Prevent. Promote. Protect
Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO
Mayor health@salem.com Health Agent
CERTIFICATE OF FITNESS
CERTIFICATE#: GHL-16-380
DATE ISSUED: 10/7/2016
Property Located at: 11 ESSEX STREET UNIT#1
Owner/Agent: Eileen M. Driscoll
Address: 14 Baldwin Road
City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(781) 631-0702
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.
&Jey ZW�/
Larry Ramdin, MPH, REHS, CHO r
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
v
BOARD OF HEALTH
120 WASHINGTON STREET,4'"FLOOR w,Pllbll „IE
TSI.. (978) 741-1800 FAX(978)745-0343
KMFYLEY DRISCOLL ]ramdin(aNalem.com
' MAYOR LARRY RAMll1N,RS/KERS,CRO,CP-f5
HEAL11t 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 5,5)JCc�I• O ACJ lT 4 UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR HACK PLEASE CIRCLE ONE
OWNER/LESSER TGILFnI14 &IMANAGER/AGENT
NO P.O. BOX '// ��q �A
ADDRESS /H' &AUU/IV TVi ADDRESS
CITY, STATE,ZIP 6 CITY, STATE,ZIP A414
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESSPHONE
TOTAL NUMBER OF ROOMS: J
ROOM USE: Lb VIAJ& 2. )�1Tc°HELI 3.8r-� .09 4.&Q&el`/ 5. &W
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 LEZC-;ffl
E TIME OF INSPECTION /
APPLICANT'S SIGNATUR4j,114iA DATE
,
Inspectors use only
Date on initial inspection:Q�p Date of reinspection: :1%/OS"/111,6
Date of issuance of certificate:15/0-2QI-4 Date fee paid: 0` 22120J 6
Type of unit: Dwelling ✓ Other Check#_Check date:
Notes: l/ {eyl� (/5 At-61'J) co r"±Cjj
C of cement Inector
p
Inspection of C�A� r/lc�{'-{tvard� Date s�yl? ' / Thir n I1.y�QN?
Nam- , Address 1_1 Faex 4 44we4*—L _
Owner El IPP.VI JIr,fCrnl' /
Tel No. _ 2.Z 63/—0�7_/7!;)
Type of inspection
. r JIJ
+6 nt -P,�n2SS Inspector
( ' ) Remarks and Violations are listed below, _
1Jpj lCoom p4r tjeajreliY Sf +Gnpj� eAfraji/CC� J)o win w 0711 1C.Lry", 44 IAZ 1006 'rg-nn4
CsoCs 04 we.f' S hzLodn,.,/ Secanj+o ltdi� I f
✓ama (
fon v., 1� hr
( lndrgu/ pvl �az le Hrl '�h 4or11 (C eeo
(�1���_ rnnsrt h.�t �nlv rn rer_I,n
_ JGbne D° rnprv, 40-5 ou YS
I ` C
I-1 v'In „LlS %' o
w 0. r aSh
Lr
I I/ ( r )
Grle r,✓ nicw _<�nll [,C t,l� h finnn'{'h v.
nWh
+0
�� r �
ro uJ T0` )VI d G I_C7— 4Q.ilcC CSS t4, /w wl T�f
+OVA Sr v'e" ,
� 1f ✓ f n /
E?Qroovrl d1ea�S'Y reaa4race, G.S iv- L,,;-f-+` 4Drn Sr.✓eel
ab,/I(Jol'.l 4l./r1.rrt'C riV4
'14 \,VA nn rreer t
rr� I 'ff 11f f
&aAe- i7eL1r(0r n �nP,S'n 7 e• prover_ Jrad/i' T� r, colerrf r /P
d Qb. 14elfnrs Pte 7n��a.(:� at� r rook r✓'ydloYl l C1,ht0/2:�'0
A)IVI(ZLa 1'00S tMLL� COCMCtJ LCL, r'e, cCricW�h?PNT caA e Orfr✓YJIP : (Jw412YY
O M 2R/ 2 e c
VIO' r
a IOhS k,/- , Ye'xln (owe-Ji
//i f�
/ 1
Report Received by&
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 -
120 WASHINGTON STREET, 4TH FLOOR
1/pa. SALEM, MA 01 970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
10/25/04
Scott Keaton
11 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 11 Essex Street Unit 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which crass-metering has been proven to exist
F e Board of Healt Reply to
Joanne Scott MPH, RS, CHO C Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
�]L BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. UlSOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 8, 2003
Scott Keaton
11 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 11 Essex Street Unit#3
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 HHeealtth_�y� Reply to
G}A-'N.7C-C i���o`tea-'c•'l
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
p CITY OF SALEM, MASSACHUSETTS
y g HEALTH AGENT
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
INN N
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #466-07
DATE ISSUED: 9/20/2007
Property Located at: 12 Essex Street UNIT# 1
Owner/Agent: Philip Jesoraldo
Address: 23 Becket Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 275-6000
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
(;96C L65"',
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS 6 C� 6'O�
BOARD OF HEALTH r
• 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 �r
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 L5I I UNIT# /
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERPHIL J'F309AL100 MANAGER/AGENT
No P.O. Boxy f o P.O. Box
ADDRESS (�er� N
21 ADDRESS
CITY S, A 1fM CITY
v
RESIDENCE PHONE V3 / 7I30,& BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 9���Z�O�pOg3
TOTAL NUMBER OF ROOMS.
ROOM USE: 1. GI IL`N 2. 1(lY�I_3. %26U1 4 �kV
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. o
APPLICANTS SIGNATUREA2/ _� DATE /Z 0� 2
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION f-01- d -0 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE 11�a ! '00 DATE FEE PAID. cl - a O
TYPE OF UNIT: DWELLING OTHER_ CHECK # It 3 I. CHECK DATFI�—?-v
NOTES
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
m BOARD OF HEALTH
j 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
Fax 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#393-06
DATE ISSUED: 8/10/2006
Property Located at: 12 Essex Street UNIT#2
Owner/Agent: Phil Jesoraldo
Address: 23 Becket Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-3088
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FO T�D OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
' �-- CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• + 120 WASHINGTON STREET, 47H 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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT� � -XC i — _UNIT#_
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER ` t ZQ A.��__MANAGER/AGENT
No P.O. Box ��// No P.O. Box
ADDRESS t1L �1' cS/ ADDRESS
CITY_ Salr/yl CITY
RESIDENCE PHONE.?
2YLLUL BUSINESS PHONE (24 HRS )
BUSINESS PHONE
TOTAL NUMBER OF ROOMS
ROOM USE: 1. jpgt L[I 2.1"��W 3-ft&4 4_-&0ft�t_
—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.
9—/ O- C)6/ ,/
APPLICANTS SIGNATUR — ----- —DATE 0 (Q -Ub
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION_ tYO-?, .--,DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATFf f7 -O,b DATE FEE PAID
TYPE OF UNIT DWELLIN _.OT HER__ _ CHECK I} �v' s CHECK DATE f �
NOTES;
CODE I NFORCLMFNT INSPECTOR 9/2t1.i9g
CITY OF SALEM9 MASSACHUSETTS
BOARD OF HEALTH
c -
/ 120 WASHINGTON STREET, 4TH FLOOR
o SALEM, MA 01970
.9q TEL. 978-741-1800
q FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#34-08
DATE ISSUED: 1/25/2008
Property Located at: 12 1/2 Essex Street UNIT# 1
Owner/Agent: John Twomey
Address: 12 1/2 Essex Street#2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-852-0650
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 Cade, 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
aU/
J NNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
' /-i;w:�l-.�R^.r'y.•!._ff: _ .- -`.f:'^.. ....w. _ .:7''._. _ y 0 �.1::f�{i
CITY OF SALEM, MASSACliUSETTS
BOARD OF .HEALTH
• �� 4"' • 120 WASHINGTON STREET.4TH FLOOR
SALEM. MA 01970 V
TEL. 978-741-1800
FAX 978-745-0948 "
STANLEY'USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS f
IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /an z F55PX S'�>r�Q UNIT#-5-
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER6��I WQYY)e( MANAGERIAGENT
AD P.O. Box 'tea✓/ N ADDRESS
ADDRESS� �
CITY 50)}p-M CITY
RESIDENCE PHONEOZ S BUSINESS PHONE (24 HRS.) 7�g5,Z-06TO
BUSINESS PHONE n-74/4'53q
TOTAL NUMBER OF ROOMS:
ROOM USE: d w�i11�1 2. ��1� _3. fl ,}�_4.ld m
5.& U )V 6. 7.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HFATH DEPARTM T THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE .__DATE__, 1 6-
TORS
I SP TORS U LY rrt
v
DATE OF INITIAL INSPECTION / - d� _.. GATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATEI-.yam ✓ __DATE FEE PAID:-./� o
TYPE OF UNIT: DWELLINk _OTHER CHECK a,�-05q CHECK OATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9128198
r
CERT.# 297-00
eO FEE $25.00
DATE: 05/10/2000
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: 13 Essex Street UNIT #: 1
OWNER/AGENT: Peter CaDra
ADDRESS: 13 Essex Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5663
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" .
t, THEREFORE, THISCERTIFICATE 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 ,/
4wxl_�/00)�
el v
-
"'JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE -ENFORCEMENT INSPECTOR
i
i
i
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 l__? Essc,X -/- UNIT#1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER MANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS /3 ADDRESS
CITY <G, CITY
RESIDENCE PHONE7y%sGG BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: 3
ROOM USE: 1. 61-2 2. 4. /�05,j
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�_���_� I�,gTE Slj2 O
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION,4�� / D -- 0 D DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE> 0 ( DATE FEE PAID: 5 0 O
TYPE OF UNIT: DWELLING, OTHER_ CHECK# f R CHECK DATE a
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
{ 6
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 Lhat 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 whatevernature and description occasioned'. ,.
by my/our absence during said inspection.
�IrNANT/Cuss WISER/+.ESSOR
ADDRESS �s TADDRESS
04 f 2 - %sem /oma/
ADDRESS OF UNIT TO BE INSPECTED
D:4iE / �
CRY OF SALEM, MASSACHUSETTS lu
BOARD OF HEALTH
120 WASHINGTON STREET 410 FLOOR P11�111CHC81th
STREET, Prevent.Promote Protect
TEL. (978) 741-1800 Fax(978)745-0343
KIMBERLEY DRISCOLL lramdin(&.salem.com
MAYOR L,\RRl'R.\MDIN,125/RI311S ,Clio,CP-FS
s HI?ALTi-f A(A NT
3
CERTIFICATE OF FITNESS
CERTIFICATE #103-14
DATE ISSUED: 3/27/2014
Property Located at: 13 Essex Street UNIT#2
Owner/Agent: Peter Capra
Address: P.O. Box 8515
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-884-5907
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
LAR MDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH -
120 WASHINGTON STREET,4...FLOOR PublicHealth
Prevent Promote Protect
TEL. (978) 741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL lramdinesalcm.com
MAYOR L,\aR��RAnmIN,Its/aryfls,cuO,C11-FS
H FAL rf-f 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 13 ESser-S�io,et UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER
NO P.O. BOX /J
ADDRESS l 3 / S s"e� S�i� f ADDRESS f ' n .-
CITY, STATE,ZIP Sc(e Q _tel�/7 d CITY, STATE,ZIP Sot (e-e71 147,4 0/97/
RESIDENCE PHONE BUSINESS PHONE(24HRS) 7S y-. S-90 7
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.Q1,AGl 2. 3.
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
Ins_Dectors use only
Date on initial inspection: 4 Date of reinspection:
Date of issuance of certificate: t(,,)�_ Date fee paid:
Type of unit: Dwelling Other Check# l Check date:
Notes:
Code n o e/ment Inspector
CITY OF SALEM, MASSACHUSETTS
o ; BOARD OF HEALTH
a 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
Fax 978-745-0343
Kimberley Driscoll www.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#31-07
DATE ISSUED: 1/23/2007
Property Located at: 14 Essex Street UNIT# 1
Owner/Agent: Joel W. Foster
Address: 43 Forest Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-0595
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 OFF HEALTH �paa
� �
JO NE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CnY OF SAMM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET. 4TH FLOOR �^y ` x•
SALEM. MA 01970
TEL. 878-741-1800
0 FAX 978-745-0948
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
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 51�51y UNIT # l _
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT PACK PLEASE CIRCLE ONE
OWNER/LESSER CJ C!7 L h If_05 �r7/FMANAGER/AGENT
No P.O. Box No P.O.Box
ADDRESS �I 51- ADDRESS
CITY V'lvr)9S A, CITY
RESIDENCE PHONEFC":)
5- PHONE (24 HRS )
BUSINESS PHONF
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 ���-�-- 2 _1 j f/ 3 - i If e -4_ i 57d
THERE IS A TWENTY-FIVE (525.00) 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-_G� _ P �
INSPECTORS USE ONLY
DATE OF INITIAI INSPECTION, a' 3 '0 7 PAI! OF PEINSFEC:TION
DATE OF ISSUANCE Of CFR TI4 IC,ATF/,a'5-`41 7 L),^^•,TE FEC PAID / c� --v 7
TYPE OF UNI? DWCH 1 (11HL- t CHECK 33 ,1 a' C!ILCK L)Al
NOI FS
CITY OF SALEM, MASSACHUSETTS
+ . BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
I4MBERLEY DRISCOLL FAX(978) 745-0343
MAYOR x;altr.Nlanuad�snLcna.ro\a
DA\'ID GRHISNRAUM
ACTING HEAL rii A(;vM,
CERTIFICATE OF FITNESS
CERTIFICATE#313-09
DATE ISSUED: 7/8/2009
Property Located at: 14 Essex Street UNIT#2
Owner/Agent: Joel W. Foster
Address: 43 Forest Street
City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-0595
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
DAVID GREENBAUM
ACTING HEALTH AGENT C ENFOR INSPECTOR
i
CITY OF SALEM, MASSACHUSETTS
• Bc saRD of,,HH\LTH
120 WASHINGTON STREET,4...FLOOR
TE1. (978) 741-1800
KIMBERLEY DRISCOLT, R. x(978)745-0343
MAYORmi0HNFAD..SAI I-M.CONS
,JANET DIC}NNE,
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 �7
PROPERTY LOCATED AT I� r-55 or J S / � � UNIT#_rte
_
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNERILESSER W r-ry5 O�� MANAGER/AGENT
NO P.O. sox q3 �1�5% s ADDRESS
ADDRESS /
CITY, STATE,ZIP lZ b WX 195 /1') 40-_ 0 19r2� CITY, STATE,ZIP
RESIDENCE PHONE 72F ` 97— U' �_K BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. A /T 2. 3. 1� 4 4'CP 5. 0
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
130ARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE J-.a-d DATE
Insnectors use oniv
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other_--_Check#__w57zLCheck date:_.,-7/�-1--
Notes:
Code Enfo ment Inspm&
CITY OF SALEM, MASSACHUSETTS
BOARD OF HE u.;IY-I
120 WASHINGTON SIREET,4...FLOOR
IQMI3ERLEY DIUSCOLL TEL,. (978) 741-1800
MAYOR
FAX (978) 745-0343
lramclinnasalem.com
LARRY RANIDIN,RS/RH IS,CI 10,CP-ISS
HIt;\1:PI1 AIiI'.NT
CERTIFICATE OF FITNESS
CERTIFICATE#217-11
DATE ISSUED: 7/11/2011
Property Located at: 15 Essex Street UNIT# 1st floor left
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 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.
OR HE �O RD OF HEALTH
LARRY RAMDIN
HEALTH AGENT CODE'ENFORCEMENTlNSPECTOR
� � L- Ir • I��F1-
I�C�kz- nn ren ��c; -longi
_a'1,ra l�LY1Q111.��
CITY OF SALEM, MASSACHUSETTS
BOARD OF HF�1L17-i
120 WASHINGTON STREET,4'"FI-OOR
KIMBERLEY DRISCOLL TEL. ()78) 741-1800
MAYOR FI\t (978) 745-0343
lramdin(a).s alein.com
LARRY RANIDIN,RS/RF1 IS,CI O,CRIBS -
HFAI:II l Ac.vN'P
CERTIFICATE OF FITNESS
CERTIFICATE #217-11
DATE ISSUED: 7/11/2011
Property Located at: 15 Essex Street UNIT#2nd floor right
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at t e above address has approved
and is in compliance with 105 CMR 410.000: Massac setts Stat I ary Code, Ch er ll"
Minimum Standards of Fitness for Human Habitation"
Therefore, this Certificate is issued by the Code E or "ment Division of the Salem Board of
Health and the unit m now be rented and/or oc pi
Maximum Number of o upants, must com ly i th 105 C R 410.000.
Certificate valid for one V ar from date of issua a until th ,current to ant vacates, which er
is later.
- - — - — - — -
This Certificate of Fitness is valid o ly if there is a valid rtificate 0 p cy.
FOR THE BOARD OF HEAL H
x �
LARRY M N
HEALTH AGEN CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS 07,11
' BOARD OF HEALTH
120 WASHINGTON STREET,4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR 1AAAMINr7a nLIN.Conl
JARRY RANfU1N,RS/REI-IS,CIA ,CP-I1S
Hb.A1 XH A(,,IiN,r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 l
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $500.0-'0 1
PROPERTY LOCATED ATUNIT#
/IS THIS UNIT DISIG)NATED AS RIGHT LEFT FR6M-0'k BACK,PLEASE CIIRR�CL OHNE
OWNER/LESSER 10ZA C,4, MANAGER/AGENT
NO P.O. BOX ) / �
ADDRESS X.o / L14)7 .tellmf DADDRESS ��
CITY, STATE,ZIP c5)- } /< - ✓ V CITY, STATE,ZIP
RESIDENCE PHONE 7/ r1 9.5,�, -6�V"//�BUSINESS PHONE(24HRS)
BUSINESS PHONE 59�? lY� .IP/
TOTAL NUMBER OF ROOMS: / �� /
ROOM USE: 1. �/I/h2. G1//f4 3. j/�/N. / 7Y Ai'V 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 I§PAYABLE AT THE TIME OF INSPECTION 7
APPLICANT'S SIGNATURE ' DATE 71111
Insnectors use only
Date on initial inspection: -7"/ Date of reinspection:
Date of issuance of certificate: -.7111111 Q Date fee paid: �/11��1
Type of unit: Dwelling�I/6ther Check# >I�J L d O Check date: 711116
Notes: In ,S C/'P.A
ode En orcement Inspector
u CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4...FLOOR PublicHealth
romote Protect
TEL. (978) 741-1800 FAx (978) 745-0343
KIMBERLEY DRISCOLL IramdinQsalem.com
L.\I2RY R,\nID[N,RS/RI s[IS,Cf 10,CI 1""
MAYOR H I,,\I;rI-1 AG ENT
CERTIFICATE OF FITNESS
CERTIFICATE# 167-14
DATE ISSUED: 5/15/2014
Property Located at: 15 Essex Street UNIT#2L
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 24 Hour Phone: 978-335-5723
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
LARR RAMDINvk(,
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
` Bo_aRD OF HEALTH / I
120 WASHINGTON STREET 4"FLOOR
TEL (978) 741-1800
KINMERLEY DRISCOLL Fax (978) 745-0343
MAYOR 1YNIDINT sALF l COM
LARRY RAMI)IN,RS/REI-IS,C1 10,CP-FS
HEA]A,1I AGEM, M ps,-L A L(A Ly v -z_
Application forCertificate 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 45 eSS IP)( 97. ' o�) L S�4 Lem m A UNIT#��
IS THIS UNIT DISIGNATIED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE I
OWNER/LESSER h1IG�Q�I, LL MANAGER/AGENTRPNA- AA) -1) 1eP�L>7
NO P.O.BOX 5' �'`
ADDRESS 6 A�LA� IyAl Ale ADDRESS -2.610 essex Ell 1021Y.1
CITY, STATE, ZIP & ')AJ P- A AIVr MA- Oa.l X-6 CITY, STATE,ZIP -A k M YKA O 1 50
RESIDENCE PHONE J� �y BUSINESS PHONE (24HRS) ! e7 S� —, /2 3
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE/IS PP LE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE ��lovw � Ra'Cs� DATE /�/
-,3,36`5720 J/ Inspectors use only
Date on initial inspection: SI I S 114 Date of reinspection:
Date of issuance of certificate: Date fee paid: 1 J
Type of unit: Dwelling Other Check# '�_ I I Check date:
Notes: oLLlloc 'mU,C1 il( �Yc)ill6 4 arY hCQQk e PTr()(_POEUfdhy
Code'EdorVueni Inspector
CITY OF SALEM, MASSACHUSETTS
` BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR
TEL. (978) 741-1800
KINIBLRLEY DRISCOLL FAX (978) 745-0343
MAYOR 1.RAm1DINnsn1.FNLCOM
LARRY RAMDIN,RS/RFHS,CHO,(:P-FS
HE'AI I'l l AG GN'r
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. Uwe 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.
Tenant/Lessee OwKr/Lessor
l5 �Ssex 37-
Address
rAddress Address S�G� 1MA
/� ESSAY ZL [P 04 M /5 Ql9�p
Address on unit to be inspected
Date
Updated 5/23/1)
CITY OF SALEM, MASSACHUSETTS
o BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#276-06
DATE ISSUED: 5/31/2006
Property Located at: 15 Essex Street UNIT#2nd floor right
Owner/Agent: Michael Hill
Address: 6 Albion Avenue
City/Town: Stoneham, MA Zip Code: 02180 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.
FO RDOF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS /
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 / 5 C552X cSr� UNIT#01 n v' * �b d K
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER_/I/l / G/I 061 �l MANAGER/AGENT
No P.O. Box / No P.O. Box
ADDRESS /`� ✓� I�J I dw ,46q - ADDRESS
CITY J7'GNP_IhA AN CITY
RESIDENCE PHONE 7?/ 953-011 9 BUSINESS PHONE (24 HRS.) 5AA4/?_
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: y
ROOM USE: 1. r �cNrn 2 4)NNi 3 L v Y 4. 4�4�1r d_ A
5. 6. 7. d 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/// / Cif 1 ` [ 7 DATE
c
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION S -3/-0 (0 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-� -31-0-6 DATE FEE PAID: S- �/ � U 6
TYPE OF UNIT: DWELLING / OTHER_ CHECK# / 7/ 0 CHECKDATE 0 b
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
Co OF SALEM, MASSACHUS&S
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 1-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
RELEASE
In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts
P,r:gulations 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 Lhat 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 Sale:,,, Salem Board of Health and its authorized age,-->
1 from any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
`?13!fr1N1' SEE I OWNER/LESSOR
/ GLC .
/ � F55e�c '57: ,�d 1 , � Q110r✓=Qv€ - eM� � an�
ADDRESS -- ADDRESS
ADDRESS OF UNIT TO BE INSPECTED
D:'iE
" CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4p1 FLOOR P11b110I�e81fh
rm.e".Promom Pro,ect.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL lramdinnn salem.com
L,\xaY JIAMDIN,RS/RV 1 VS,cJ-Jo,cJ)-rs
MAYOR HFAJ;n I ACENr
CERTIFICATE OF FITNESS
CERTIFICATE#68-14
DATE ISSUED:2/26/2014
Property Located at: 21 Essex Street UNIT# 1
Owner/Agent: Maria Correia
Address: P.O. Box 52
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 IP' Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
AMIDIN ! J 1✓ 7—
HEALTH AGENT v SANIT1I11N
i
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4m FLOOR
TEL (978)741-1800 FAX(978)745-0343
KIMBERLEY DRISCOLL 1mmdin(d)salem.com
MAYOR LARRY RA6IDIN,RS/REFiS,CHO,CP-PS
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- S S x S I UNIT#-
IS TIIIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSER P A 2 (,0 C 2 I4 MANAGER/AGENT
NO P.O.BOX
ADDRESS 0 _ V` q r� ADDRESS A
CITY, STATE,ZIP Gi X -P ✓1^ CITY, STATE,ZIP / U� ✓� '._
RESIDENCE PHONE BUSINESS PHONE(24HRS)1 S / a'2 S
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. V�k T�A o 2. 6 �- 3. �4� 4. 5 L9
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 PAY4B LE AT THE OF INSPECTION
f
APPLICANT'S SIGNATURE " `� `" c / _#G DATE
Inspectors use only
Date on initial inspection: a I a 6 4 Date of reinspection
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#��Check date:
Notes:
Co&n1mr6mietit Inspector
CITY OF SALEM, MASSACHUSETTS IV
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR Pab]1CFleelth
Prevent.Promote Protest.
TEL. (978)741-1800 FAX(978) 745-0343 _
KIMBERLEY DRISCOLL IramdinCalsalem.com
LARRY R.\bfDIN,RS/RI?GIS,(:FIO,CP-FS
MAYOR HE,\I;11 f Ac.[-"N'1'
CERTIFICATE OF FITNESS
CERTIFICATE#435-14
DATE ISSUED: 11/21/2014
Property Located at: 21 Essex Street UNIT#3
Owner/Agent: Robert Barnard
Address: P.O. Box 52
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
LARRY RAMDINY
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
• yJ * BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800 J /
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDIN26M.QM.COM
LARRY RAMDIN,RS/RL?IIS,C1 10,CP-FS
Hrma'i i AGIl.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"
FEE: $50.00
PROPERTY LOCATED AT J i S C-P J/ S+ -:#3 UNIT#-3
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSERID_ eW / ;moi MANAGER/AGENT
NO P.O.BOX n
ADDRESS 49 /). 80)( 4—� Z ADDRESS
CITY, STATE,ZIP Std, 4m M 14 0100 CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.A rrO- - 2.-)X�rvvivl 5. 44 kh
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 I1S PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE C-"c � � `I DATE
J Inspectors use only
Date on initial inspection: '
I I ' I 1 I L4 Date of reinspection:
� 1
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#_Check date: 14
Notes:
Code EnYorc6fent Inspector
" CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET 4T..FLOOR PI1b11CHC81t11
STREET, Prevent.Promote,Protect
TEL. (978)741-1800 FAZ(978) 745-0343
KIMBERLEY DRISCOLL IramdinOsalem.COm
- LARRY RINIDIN,RS/RT.-,HS,CIIO,CP-FS
MAYOR HEAI;rFI AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #436-14
DATE ISSUED: 11/7/2014
Property Located at: 21 Essex Street UNIT#5
Owner/Agent: Robert Barnard
Address: P.O. Box 52
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
LA MDIN 'J
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
R BOARD OF HEALTH
120 WASHINGTQN STREET,4"'FLOOR ✓" J
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LRAMDIN S V.P:M.COM1I
LARRY RAAIDIN,RS%RIM IS,CI-10,CP-Dl
HISALTI'I AGILNP .
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 UNIT# 5
rr IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER J� c1 lie + I 6,610 7 aH a� MANAGER/AGENT
NO P.O. BOX r?
ADDRESS Y () 87) )( -S Z ADDRESS
CITY, STATE,ZIPS I I-eli,37 Al r D ) � 7 CITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: Ib /VW)� 3. h1 1 l ovr 4.(vin,— 5. �� I
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(A'l';,JTHE TIME OF INSPECTION
APPLICANT'S SIGNATURE / �/ 5 DATE
/ Ins_Dectors use only
Date on initial inspection: I I/ I I Date of reinspection:
Date of issuance of certificate: Date fee paid: ' /
Type of unit: Dwelling Other Check#_Check date:
Notes:
Code oIA ent Inspector
I
OF
n �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
04/23/2001 Fax:(978)740-9705
Alka & Pradeep Madan
24 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 24 Essex 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.
F�ARD OF HEALTH REPLY TO
oanne Scottt, MP� PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 08/24/2000 Tel (978)741-1800
Fax.(978) 740-9705
Alka & Pradeep Madan
24 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 24 Essex 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.
FOR THE BOARD Off' HEALT
H REPLY TO
'x2C� I✓QAt`
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
6/15/05
Michaeline Laroche& Robert Ouellette
25 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 25 Essex Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of HHeeaalltth', Reply to
oanne Scott MPH, RS, CHO Pablo Valdez
ealth Agent Code Enforcement Inspector
" CONDIT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 03/11/99 Tel:(978)741-1800
Fax,(978)740-9705
Michaeline Laroche & Robert Ouellette
25 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 25 Essex 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 the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8 :00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
FOR THE BOARD OF/ REPLY TO
anne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 714-96
3 A FEE $25.00
DATE: 10/10/96
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: 25 Essex Street UNIT #: 1
OWNER/AGENT: Robert Ouellette
ADDRESS: 3 White Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0094
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
fO�FJJ HEALTH I�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I�,
OFFICE USE ONLY
CERT: #
DATE:
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 CERTIFICATE 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 FrSST JC J / UT I /
OWNER/LESSER �j�2%— �jr/TTT MANAGER/AGENT
wN lr �' �7 �p ADDRESS
ADDRESS
CITY LJnl�//, CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: J
ROOM USE: 1 . 2. 3. All Ae"47 4 . IL/7CrYPV
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 UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SIGNATURE DATE
r
INSPECTORSUSEONLY
DATE OF INITIAL INSPECTION://� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �� �/ ZJ �° w DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES: !)(L
CODE ENFORCEMENT INSPECTOR
Y
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: 10/02/96 Fax:(508)740-9705
Robert Ouellette
3 White Street
Salem, MA 01970
PROPERTY LOCATED AT 25 Essex 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.
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
co CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
. SALEM, MAO 1970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
7/26/05
Michaeline Laroche & Robert Ouellette
144 Federal Street
Salem, MA 01970
PROPERTY LOCATED AT 25 Essex Street Unit 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8 00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For{Ihe Board of Health i Reply to
J12none Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
nBOARD OF HEALTH
2 _ 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
qBQ� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
6/13/05
Michaeline LaRoche & Robert Ouellette
144 Federal Street
Salem MA 01970
PROPERTY LOCATED AT 25 Essex 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 HealthReply to
panne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
,�CaNU1T�,F
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL 978-741-1800
�;hM6 FAX 978-745-0343
;OVICZ, JR. JOANNE SCOT-, IMPH, RS, CHO
MAYOR HEALTH AGENT
02/08/2002
Michaeline LaRoche & Robert Ouellette
144 Federal Street
Salem, MA Oi970
PROPERTY LOCATED AT 25 Essex 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 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
I
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 ci,at L�nant. The -apartment of Public t?r" ' `--- I-", -_^^ert-
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.
,IFOR THE BOARD OF HEALTH REPLY TO
_dJoanne Sc dt t,�MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
{ r f Y
y_
���41V8
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
04/24/2001'
Michaeline LaRoche & Robert Ouellette
144 Federal Street
Salem, MA 01970
PROPERTY LOCATED AT 25 Essex 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 410.000; 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.
4o0R.
THE BOARD 0 HEALTH REPLY TO
anne SCo , MHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
r
v CERT.# 157-98
FEE $25.00
DATE: 03/24/98
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: 26 Essex Street UNIT #: 1L
OWNER/AGENT: Harbor Realty
ADDRESS: 111 Derbv Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-3778
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 11, "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 11, "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 J
qe-p-X-4-c- d �
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(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 tiJC(/� /�� d� WT I
OWNER/LESSE ,(Jjjjv MANAGER/ADEN
ADDRESS ADDP.ESS
CITY � _� CITY
-,RESIDENCE PHONE �//J - BUSINESS PHONE (24 HRS.)Z�_p:??
BUSINESS PHONE qg 7 Jll'(�
TOTAL NUMBER OF /�ROO �
OMS:
ROOM USE: 1. ac.,,/() 2. j 3._�4 .
5, 5. 7. 8,
THERE IS A TWENTY—FIVE (25.00) LLAR FEE, PA ABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEP THIS EE S AYABLE AT THE TINE OF IN PEC/TIO
APPLICANTS SIGMA , DAZ �` Gy
1
' ECTORS USE ONLY
DATE OF INITIAL INSPECTION: ti( (� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: DATE FEF. PAID: ,2 Cf� S7
TYPE OF UNIT: DWELLING OTHER
NOTES :
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
a 120 WASHINGTON STREET, 4TH FLOOR
!�d SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
3/18/08
Annette Gagnon
27 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 27 Essex Street Unit 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances,Section 2-
334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code,Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
�loann��e 3 ott MPH, IRS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CERT.# 650-97
3 FEE $25.00
DATE: 09/23/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 28 Essex Street UNIT #: 1
OWNER/AGENT: Fred J. Cardella
ADDRESS: 63 Memorial Drive
CITY/TOWN: Salem- MA ZIP CODE: 01970 24 HOUR PHONE: 745-0047
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE.
FOR
THE BOARD OF
L65e,11-
V Q
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
rte;
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NWE NORTH STREET
HEALTH AGENT Tel:{508)741-1800
APPLICATION FOR CERTIFICTE OF FITNESS Fax
(508)740-9705
IN ACCORDANCE WITH STATE SANITARY*CODE, CHAPTER II, 105 CMR 410.000 "MIN
STANDARDS OF FITNESS FOR HUMAN HABITATIOyN".
PROPERTY LOCATED AT co /1�iyYp " : UNIT f J
OWNER/LES��St1ER gtir,a MANAGER/AGENT
ADDRESS ,(p 27f,0.y�,o�-j, ,Q 00j C 2. ADDRESS
CITY ./r/ i `h�fj - (�l �d CITY
RESIDENCE PHONE 74,$ _0441.J BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. t2. /:3. . 3. �5>0 /Q 4 .
5. 6. 7. 8,
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TUE
CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OFINSPECTION
APPLICANTS SIGNATURE t-Gir/�FiEPQ DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: a `� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: `"1 /. � ---�,'� DATE FEE PAID:
TYPE OF UNIT; DWELLING OTHER
NOTES :
CODE ENFORCEMENT INSPECTOR
l
CERT.# 342-96
" `• FEE $25.00
3 - rr 7i
DATE: 06/03/96
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
CERTIFICATF OF FTTNESS
PROPERTY LOCATED AT: 28 Essex Street UNIT #: 2
OWNER/AGENT: Fred J- Cardella
ADDRESS: 63 Memorial Drive
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 745-0047
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 UN-)ER 6 YEARS OF AGE.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tet:(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 UNIT I
OWNER/LES/SER 7Y-2o(g �j�+G/�+L/�y_ MANAGER/AGENT
ADDRESS � J "�?'1✓�J10If�i �P �.�. ADDRESSCITY ✓v�it CITY
RESIDENCE PHONE 745--- oo4,1 7 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS: r / � -
ROOM USE: 1. -2. 3. l R 4 .
5. 6. 7. 8,
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEH HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPEC�#TIOON
APPLICANTS SIGNATURE j / � �(�(Cl DATE 4 +
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION .- - �( � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: " 3 " f/b DATE FEE PAID: 3
TYPE OF UNIT: DWELLING-yV OTHER
NOTES: /
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
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
12/23/04
Raymond & Rita March
30 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 30 Essex 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.
j the Board of Health Reply to
e S x _ J��Jr_�,t7(—
oanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
.CONOIT
vQ'
m
�e- Y
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
02/14/2001 Fax.(978)740-9705
Raymond & Rita March
30 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 30 Essex 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.
Jo�OR THE BOARD OF HEALTH REPLY TO
ott, MHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
o ; BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor .JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
3/8/06
Eric Harrison
32 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 32 Essex 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.
qa
the Board of Heal Reply to
Lo
nne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
Y
;r
i . oNo
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel: (978)741-1800
05/16/2001 Fax:(978)740-9705
Eric Harrison
32 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 32 Essex 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 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 so exist.
F THE BOARD OF EALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 713-96
3 �
' FEE $25.00
DATE: 10/10/96
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: 32 Essex Street, UNIT #: 1
OWNER/AGENT: Eric Harrison
ADDRESS: 32 Essex Street
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-2757
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 Q
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
OFFICE USE 0 '
CERT: J�
DATE: /0//(,
" 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 CERTIFICATE OF FITNESS Fax:(508)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABBITATION".. �
PROPERTY LOCATED AT //�'S/� UNIT I I
OWNER/LESSER GTtC 91 ' i1oLPfiSOl1 MANAGER/AGENT 154a+ � .
ADDRESS LSG j
'?�4� ADDRESS
CITY 5n/�-- I � ' 1 - CITY
RESIDENCE PHONE Sof? 7 ye/ 2 -7S7 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE --
TOTAL NUMBER OF ROOMS:
ROOM USE: I . /" e2. Z U .A)4yA 3• �, 1wIlp, 4 • 6 C' �
5. 6. J 7. 8.
THERE IS A, TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT UPON COMPLIANCE AND ISSUANCE OF CERTIFICATE.
APPLICANTS SICNATURE(<. \,,�12 DATE ��I /9'4
L ,
INSPECTORS USE ONLY p/
DATE OF INITIAL INSPECTION: �6� �'J� DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: E DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTESez a.(
CODE ENFORCEMENT INSPECTOR
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: 09/26/96 Fax:(508)740-9705
Eric Harrison
32 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 32 Essex Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department. This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (508) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
gj 120 WASHINGTON STREET, 4TH F40OR
d SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 15, 2003
John Cahill
17 Stafford Road
Danvers, MA 01923
PROPERTY LOCATED 33 Essex Street Unit# 1 L
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
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
J'
3CERT.# 708-99
R FEE $25.00
g DATE: 12/01/99
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: 33 Essex Street UNIT #: 1 Left Front
OWNER/AGENT: John Hinch
ADDRESS: 17 Geneva Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8326
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
I V
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r•
l
. • - � /fig
9�'�irnNe�
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax. (978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT 3 e �_v � ONT UNIT#�
IS THIS UNIT DESIGNATED AS RIGHT AT .FRBACK PLEASE CIRCLE ONE
OWNER/LESSER Z�70%,4" 1,41W MANAGER/AGENT dZ"JA/U
No P.O. Box No P.O. Box
ADDRESS l7 4)&vf-weA_ 'S;— ADDRESS
CITY _. . CITY
RESIDENCE PHONE 71K -83dt BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: `7
ROOM USE: 1. 2. /72 3. 4. 44�'
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 SIGNATURF_ i �i� DATE
SPECTORS USE ONLY
DATE OF INITIAL INSPECTION,/.2 — / -4 9 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/,2 -/-S f DATE FEE PAID. /�X
TYPE OF UNIT: DWELLING
/�_OTHER_ CHECK# a 3 1 _CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
" 4 120 WASHINGTON STREET, 4TH FLOOR
r SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
1/12/05
John M. Cahill
198 Locust Street
Danvers, MA 01923
PROPERTY LOCATED AT 33 Essex Street Unit 1 R
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.
Fort a Board of Health Reply to
Joafine Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOORSALEM, MA 01970 CERT.# 595-02
FEE $25 .00
TEL 978-741-1800 DATE: 11/20/2002
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS. CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 33 Essex Street UNIT #: 4
OWNER/AGENT: Jon Cahill
ADDRESS: 198 Locust Street
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 978-777-2577
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 OF7/ HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
co CITY OF SALEM, MASSACHUSETTS
• vQ' '� BOARD OF HEALTH
• w 120 WASHINGTON STREET, 4TH FLOOR 7
SALEM, MA 01970
,��MI� TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ. JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT J3 ,oe�S5LX _5T UNIT#1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER Jon da k II MANAGER/AGENT /✓,/1-
No P.O. Box No P.O. Box
ADDRESS sT. ADDRESS
CITY fiANVG,r5 Iyer¢ 0l4.)3 CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE ILMI}
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. Ae 2. Fj k�9 3. 4. Ll R,
5. Al Id a 6. 47 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 /) a a O 'Y DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:1(-A-,2 r 2 DATE FEE PAID:
TYPE OF UNIT: DWELLIN OTHER_ CHECK# 3 3 CHECK DATE y
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,PIS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
11/15/99 Fax:(978)740-9705
Christopher Thornton
39 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 39 Essex Street UNIT # RR
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness
for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within One Week of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. our office hours are Monday
thru. Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7;00 p.m. and Friday 8:00
a.m.- 4:00 p.m.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those utilities
and if the meter(s) records electricity and gas use which is not used exclusively by
that tenant. The Department of Public Utilities has billed property owners for their
tenants' entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven eo exist.
F_qR THE BOARD OF HEALTH REPLY TO
oanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
3 53
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO 120 Washington Street
HEALTH AGENT Tel: (978)741-1800
07/30/2001 Fax:(978)745-0343
Chew Moy Ching Szeto
3611 Cochran
Houston, TX 77009
PROPERTY LOCATED AT 40 Essex 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 410.000; 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 BOARD HE H REPLY TO
oanne Scott, MPH,RS,CHO PA13LO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CERT.# 523-99
FEE $25.00
+ DATE: 09/09/99
�WM/NB�
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: 41 Essex Street UNIT #: 2
OWNER/AGENT: Constance Hale
ADDRESS: 41 Essex Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0915
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
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 It, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ` .o_t �
.-�C-.,- UNIT#4;�,
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSEF� ��ct/r 5�.��i MANAGERIAGENT
No P.O. Bax vV No P.O. Box
ADDRESS Y/�_9a'i ADDRESS
CITY % CITY O<
RESIDENCE PHONE 7415~ O%1:5`- BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._ISCI _2, 41 3. '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.
APPLICANTS SIGNATUREDATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION � - cl 5 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: % Y-4� DATE FEE PAID: q-- � -4''1
TYPE OF UNIT: DWELLING&.OTHER_ CHECK# I Lf SGa CHECK DATE C Y
NOTES:
CODE ENFORCEMENT INSPECTOR 9128198
I
' ;�ONUIT
CERT.# 82-01
a FEE $25.00
DATE: 02/22/2001
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: 45 Essex Street UNIT #: 2
OWNER/AGENT: Keith & Christine Mcclearn
ADDRESS: 107 Federal Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 825-9121
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 (K) 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 V
HEALTH AGENT CODE ENFORCEMENT IN
n �
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".
/G) /�Cc�X --,
PROPERTY LOCATED AT �rz e 1 UNIT# Z
IS THIS UNIT DESIGNATED'AS`RI LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER / ifYCV7n5kirMANAGER/AGENT IV
No P.O. Box No P.O. Box
ADDRESS le ADDRESS
CITY Sc�L ✓ K1 cJ /%�U CITY
RESIDENCE PHONE 938 SaS L/ % BUSINESS PHONE (24 HRS.) &-/, 61
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 11:�)61-1.7 2. 1-r 3. LiVv,ic 4. Red 7�
5. 1�e� 8.
J
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- / C DATE t-�113/C-1/
INSPECTORS USE ONLY /
DATE OF INITIAL INSPECTION 2 ' a -0 1 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:').- 3?-z fl/ DATE FEE PAID: 2
TYPE OF UNIT: DWELLING�OTHER_ CHECK# 1f �/ CHECK DATES - 'a'
NOTES: ///`'
CODE ENFORCEMENT INSPECTOR 9128198
iMe,
CITY OF SALEM BOARD OF HEALTH
Salern, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Fax:(508)740-9705
REI.EASE
In accordance with Massachusetts General Laws Chapter 111 ; Code of Massacbusetts
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
or 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 Lhat 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/omy/ourabsence during said inspection.
�HSor> Ali I),
TENANT/LESSEE OWNER/iESSOR
ADDRESS 7 ADDRESS
IJ
ADDRESS OF UNIT TO BE INSPECTED
D
�r, e
v6�corvw ,�o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
c
$ 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
Mne FAX 978-745-0343
KIMBERLEY DRISCOLL .1SCOTT@SALEM.COM
MAYOR
.JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#278-08
DATE ISSUED: 6/13/2008
Property Located at: 46 1/2 Essex Street UNIT# 1
Owner/Agent: Robert Difazio
Address: 6 Baker Street
City/Town: Amesbury, MA Zip Code: 01913 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
J ANNE SCOTT, MPH, RS, CHOAOD
��
HEALTH AGENT W0 EMEN INSPECTOR
• / CITY OF SALEM, MASSACHUSETTS
IBOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR ISCO'rr([7SAI.rM.COM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS
/OFF/�FITNESS FOR HUMA HABITATION." I
PROPERTY LACATED AT a b ,l a FJ,5ex Sr UNIT# +
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Z I D MANAGER/AGENT
NO P.O. BOX
ADDRESS /D/� ADDRESS
//
CITY,STATE,ZIP E/t�/!tf S/3 UAV AM vl cJ/3 CITY,STATE,ZB'
RESIDENCE PHONE 9 ' , YJ A - 7�2 5 BUSINESS PHONE(24HRS)
BUSINESS PHONE �20'-
TOTAL NUMBER OF ROOMS: L5
ROOM USE: 1. 2. 3. 4. ( )
6. 7. 8. 9. �-10.
THERE IS A TWENTY-FIVE($25)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH THIS EE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE DATE
Inspectors use only
Date on initial inspection: ` )3 - Date of reinspection:
Date of issuance of certificate: G-\3 - a T Date fee paid: L )'I - v�'
Type of unit: Dwelling `� Other Check# 1-0) $ Check date: (n' 3 'o s'
Notes:
/A /
Code Enforce en Inspect
l
CITY OF SALEMr MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
onNs ' FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#279-08
DATE ISSUED:6/12/2008
Property Located at: 46 1/2 Essex Street UNIT#2
Owner/Agent: Robert DiFazio
Address: 6 Baker Street
City/Town: Amesbury, MA Zip Code: 01913 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 il"
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 Y s
HEALTH AGENT kLSPECTOR
I , 1
• CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR ISCO rrnasAIRM.COM
JOANNE SCOTT,
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM) �S/T,ANDARDS OF FITNESS
(
TNESS FOR HHUMA HABITATION."
146 PROPERTY LACATED AT l/d �SS4 X V ! UNIT#
/S ,IS THIS UNIT
JD/T DISIGNATED SE
AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWD
NER/LESSER lC 9E& D/r"?VWANAGER/AGENT AJ/F,-/-7 Z�CY S
NO P.O. BOX /� ,K/f
ADDRESS X) I/�tf'/ )t7 (W L��ADDRESS n
CITY,STATE,ZIP 77G/i/ C /�2y CITY,STATE,ZIP 06 V/ !p
/3p
RESIDENCE PHONE-/1 ' 3159 - BUSINESS PHONE(24HRS)_ /P-51o�/ 2
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: llJ
ROOM USE: L, 2. 3. 4. 5.
(6.) 7. 8. 9. 10.
v
THERE IS A TWENTY-FIVE($25)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HEALTH THIS F E IS PAYABLE ATTTHE TIME OF INSPECTION
APPLICANTS SIGNATURE "' w
DATE
Inspectors use only
Date on initial inspection: 2- ` Z S Date of reinspection: C
Date of issuance of certificate: (P -R-<b ' Date fee paid:
Type of unit: Dwelling ✓ Other Check# 2.a ) 2 Check date: - I L-o
Notes:
t" a414L�"
Code Enforcement Inspector
l
r '
CITY OF SALEM, MASSACHUSETTS
' • BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978)741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR IST IT(OSALRM.COM
JOANNE SCOTT,
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.
71� a
enan/Lessee Ow a Le orr
ILI-
7-61
Address Address
Address on unit to be inspected
Of
Date
12k 191 2:MOdjl A G I 1 i17I:I 1.Y14N/1S11� awwiuolia1141bLL.lt4MH, �w,��,aJla:��
■ Complete items 1,2,and 3.Also complete A. Si
Item 4 if Restdcted Delivery is desired. X ❑Agent
■ Print your name and address on the reverse 0 Addlessee,�
so that we can return the card to you. , eceived by( =a C. D orlt
■ Attach this card to the back of the mailpiece, �-�(Y D/ ��k�
or on the front if space permits. I��YY l�l
1. Article Addressed to: D. Is delivery address ilferent from Rem i? A Y6s
_ If YES,enter d ery address below: ❑No
�G't�0
_ r
k6,z ; C) ZZ
% 3. Service Type -
�V f
MA 619/3 0 Certified Mall 0 Repress Mail
❑Registered
ed O Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
V& 14. Restricted Delivery?(Exna Fee) ❑Yes
2. Article Ntmber 7005' 3110 0000 7160 23675 ;
(transfer from service laben _
Ps Form 3811,February 2004 Domestic Return Receipt w 102595-02-M-1540
UNITED STATES P
�T
MA
I • Sender: Please print your name, address, and ZIP+4 in this box
RECEIVED
MAY 0 8 2�ARD OF HEALTH
i Clry �� ..,,� , —
eoa�QF jaU�EM, MA 01970
i
i
sill
I
I
7 . •
.n
M1
�fl (Domestic
'p-01 OFFICIAL USE
M1 Passage $
C3 Cemged Fee
C3
E3 Return Receipt Fee Postmark
Hare
(Endorsement Required)
E3 Resmoted DelFee
Fee
r-1 (End Required)
rq
M Total Postage&Fees ,$
M Sant To
p
Jfreet Apt Na;
orPO'Box Na
rr
JDIFAZI6- L,- M113
8 BAKE
KEE R STREET
AMESBURY MA Q1913 _
�ry TE'
PAYTOdsSIE
ORDERO
DOLLARS
-
_—'�—
5: 2 1 13 709, 43 i::2 5;00-2 2 'i+1' �,2 i-,iC -
CITY OF SALEM, MASSACHUSETTS
�. BOARD OF HEALTH
R
_ 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 March 6, 2008
Robert J DiFazio
Joy H DiFazio
6 Baker Street
Amesbury, MA 01913
Dear Sir/Madam:
In accordance with Chapter 111, Sections 127A and 1276 of the Massachusetts General Laws, 105
CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR
410.00: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, a
Certificate of Fitness inspection was conducted of the property at 46 Essex Street conducted by
David Greenbaum,Sanitarian, on Friday February 29,2008.
Notice: if this rental unit is occupied by a child or children under the age of 6 years, it is the property
owner's responsibility to notify tenants of lead related reports and tests, and to ensure that this unit
complies fully With 105 CMR 460:000: Regulations for Lead Poisoning Prevention and Control- For
further information or to request an inspection, contact the Salem Board of Health at 978-741-1800,
You are hereby ORDERED to make a good-faith effort to correct the violations listed on the
enclosed inspection report.
Should you be aggrieved by this Order,you have the right to request a hearing before the Board of
Health. A request for said hearing must be received in writing in the office of the Board of Health
within 7 days of receipt of this Order. At said hearing,you will be given an opportunity to be heard
and to present witness and documentary evidence as to why this Order should be modified or
withdrawn. An attorney may represent you. Please also be informed that you have the right to
inspect and obtain copies of all relevant inspection in investigation reports, orders and other
documentary information in the possession of this Board, and that any adverse party has the right
to be present at the hearing.
Please be advised that the conditions noted may enable the occupant(s)to use one or more of the
statutory remedies available to them as outlined in the enclosed inspection report form.
For the Board of Ijealth Reply to:
6e
anne Scot David Greenbaum
Health Agent Sanitarian
IS/i❑,
0046 ESSEX STREET
Robert J. DiFazio City of Salem
Joy H. DiFazio
6 Baker Street
Amesbury, MA 01913 Mass Housing (Health) sp Health - Inspection
( Rev. Feb 29,2008 )
Area To Inspect:: i Item: Status: Nature of problem or correction:
Entire unit and common area 1 Owners Responsibility to Maintain Struc Not Done /
Ok to Issue Certificate ?: Windows,floors, doors, Ceilings, roof in FAIL The tops sh of the middle kitchen window does not stay closed properly.
NO good condition (410.500) Repai indow to stay closed on its own
Building Layout The Same?: ere are many broken/damaged floor tiles in the kitchen. Repair or replace all
damaged floor tiles.
Y@S broke/
Inspector: T sky light is leaking. Repair sky light to be free of leaks.
David Greenbaum
Date&Time Requested: Protective Railings and Walls Not Done
at Safe handrail in all stairways used by FAIL T e m no hand rail in the back hall. Provide a hand rail in the back hall.
occupants per 780 CMR Mass. State
Date of Inspection: Building Code (410.503(A))
Friday, February 29, 2008
Reinspect By:: Smoke Detectors Not Done /eer
Smoke detectors provided and FAIL re no carbon monoxide detectors in this unit. Provide carbon monoxide
maintained 410.482 s in this unit in accordance with all applicable codes.
Certificate Number: ( )
Certificate Expires On:
Status:
OPEN
Notes:
i
I
120 Washington Street,4th Floor*SALEM,MA*Phone:(978)741-1800*Fax:(978)745-0343
GeoTMS®2008 Des Lauriers Municipal Solutio Page I of 1
5-!-J-30.-L - _ - - - - - ----
_ LG>_ g �� - $3� - ISSN- • - - - • - - •- -
1►e
4
iNIMRTANT MESSAGE
FOR � rit� r/r(
DATE TIME A.
M c � d Ll p(
OF 6WA41-
h �i � ��✓
PHONE
AREA CODE NUMBER EMEN5ION
O FAX
❑ MOE311
AREA CODE NUMBER TIME TO CALL
TELEPHONED PLEASE CALL
CAME M SEE YOU ' WILL CALL AGAIN f
WANTS TO SEE YOU f RUSH
RETURNED YOUR CALLWILL FAX TO YOU
MESSAGE Z1 ) CJD o0)F
SIGNED/
FO
MApFFF/1��N RM4LLS.A.009
CITY OF SALEM, MASSACHUSETTS
• BOARD Oi,,Hi,-,.LTH
120 WASHINGTON STRL'.ET,4°1 FLOOR
TEL. (978)741-1800
KLNIBER1.EY DRISCOLL FAX(978)745-0343
MAYOR iscorrOSALPW.COM
JOANNE SCOTT,
HEALTH.AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#384-08
DATE ISSUED: 8/19/2008
Property Located at: 48 Essex Street UNIT#2
Owner/Agent: Nancy Bacigalupo
Address: 3 Rutledge Road
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 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.
FOR THE BOARD OF EALTH
tS MPH RS CHO
HEALTH AGENT °CODE EKIFORCEMEN INSPECTOR
L-Or fcu.,
CITY car SALEM, MASS ACI-(us] fTS
120 ,f HNGTON STREE.T,4,"FLOOR
111- (978)741-1800
FIMBERLEY DRISCOLL F NX (9 7/8)745-0343
I\L�'YOlt ScorrmS:vav COM
JOANNI'SM T,
HE-Au IAGE.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."
N
f
FEE: $50.0�0
PROPERTY LOCATED AT 42 CL5Sex 31Sol- i I r 16L 0(9f?d UNIT#--(q> -
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER Ktan,-c) -Clclncr r,6 MANAGER/AGENT
NO P.O.BOX JJ f 1</��`� '1
ADDRESS 3 kokL- t �j ADDRESS
Q re�yvA
CITY, STATE,ZIP �.564e M Na O (Q`7O CITY,STATE,ZIP
RESIDENCE PHONE9-7E 979f 4566L BUSINESS PHONE (24HRS)
BUSINESS PHONE I -(o I q 9 Uo O 10 1
TOTAL NUMBER OF ROOMS:
ROOM USE: 1.bums room 2."refit+ 3.4 <A 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 �q/IL1 �I lC�%u� DATE 811'912rnR
I Inspectors use onlv
Date on initial inspection: IR^\Q O Date of reinspection:
Date of issuance of certificate: g^ 1 R ,d Date fee paid:
Type of unit: Dwelling ✓ Other Check#21,1 4n1.14 4 Check date: 5R— 1 a-6�
Notes:
ode Enforcement Inspector
45
�a�1rr! C�feLfr��tcs.r_ _ �O�r10�1Uu� a
•y' r�/�vf CO`
'3 ,! CITY OF S;1LL1�'I, MASSA(, �l�I ITS
12()W:\iIT1\GTQS STRPF:T,4' 'FL:x-,R
(978; 741-1800
KJ.%1BFRL1?Y DRISCOM, F,\S {978) 745-0343
DLlYOR is<orrGus.vr.M.COSI
]0:1NNI:Sr'(i'r1,
HEALTH A(;LN'i'
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. Uwe 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.
A4,441v- lel1�1Ito & 0
Tynant/Lessee Owner/Llessor 0
4-8 l'�� < � 3 ��c 1�1 V �'�c Qa r r 3 6 0
Address Address
}}.:2'
42 -64 3:zkm Nk 0(176
Address on unit to be inspected
Date
A
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#463-06
DATE ISSUED: 9/13/2006
Property Located at: 49 Essex Street UNIT# 1L
Owner/Agent: Linda Locke
Address: 1 Pickering Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5035
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.
r
FOR THE BOARD OF HEALTH
J)
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I�
CITY OF SALEM, MASSACHUSETTS �J�� /O
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
,y TEL. 978-741-1800 /y-
"+�'u!� FAX 978-745-0343 ✓(�C�y1��- L '
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT [ /
Mayor �-acv 71
ep—
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 l�� �X UNIT #14_L
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER,/i✓JA I_M4!'�_ MANAGER/AGENTPIA _
No P.O. Box No P.O. Box
ADDRESS ADDRESS
CITY J Al .AIVI CITY
RESIDENCE PHONE-//d NS'423S�BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 14)vzvv2
Sv IZYh/�16.00 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 c.1` DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:-i- DATE FEE PAID:-LX-792 G
TYPE OF UNIT: DWELLING _OTHER_ CHECK CHECK DATES It
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
'kv x.
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
HEALTH AGENT
Kimberley Driscoll
Mayor
RELEASE
In accordance with Massachusetts Genera. Lads 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.
Ln 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 agc:,.s
f-ora any loss or injury sustained of whatever nature and description oceasioued
by my/our absence during said insnecti.on.
j ESSp 0W9ER/7.FSSOF.
qq
�L��-- Ate- l oms PSS
,zc�
P.DiNt1;SS OP U[dI1' Tc 1i1 T?,SPF(CTEDI
D" 1:
,ii
r . CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,41 'FLOOR P11blicHealth
TEL. (978) 741-1800 Fax (978)745-0343
KIMBERLEY DRISCOLL lramdin(c)salem.com
L,\RRl'R,\<,IDIN,RS/RI?I-IS,C;FIO,CP-];S
MAYOR
CERTIFICATE OF FITNESS
CERTIFICATE#418-14
DATE ISSUED: 11/18/2014
Property Located at: 49 Essex Street UNIT#2L
Owner/Agent: Linda Locke
Address: 1 Pickering Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5135
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
LAR MDIN
HEALTH AGENT SANITARIAN
L__
CITY OF SALEM,MASSACHUSETTS
a BOARD of HEALTH
120 WASHINGTQN STREET,4°1 FLOOR
TEL.(978)741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LPLAMQ1N WEMMM
LARRY RAMDIN,RS/REAS,CHO,CP-PS
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"
L�/ r FEE: $50.00
PROPERTY LOCATED AT / " I K S'S� \4 UNIT#
IS THIS UNIT DIS)IGN�A,TED AS RIGHT LEFT FRONT ORBACIC PLEASE CIRCLE ONE
OWNER/LESSER L�hFX `�/G��-� MANAGER/AGENT
NO P.O.BOX c L
ADDRESS I �� l ADDRESS
CITY, STATE,ZIP ��`/tp/� ! 2 CITY, STATE,ZIP
RESIDENCE PHONE"I cd ✓ YJ—J IJJ�BUSINESS PHONE(24HRS) �O
BUSINESS PHONE
v
TOTAL NUMBER OF ROOMS: qq,, (
ROOM USE: *, ,f
D h'12.QJ�-�1 1h3. ��81►' V (1 S. I'v' 12D7y"_
1111 7. V-91 9. 0 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 AYABL/E AT THE IME OF INSPECTION
APPLICANT'S SIGNATURF -fit c DATE
J InsDectors use only
Date on initial inspection: (I f15t I I t-I Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#_Q _Check date:
Notes:
Code kdo&ednent Inspector
• � . CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4r"FLOOR pPublicHea Ith
romote Protect.
TES,. (978) 741-1800 FAX(978) 745-0343
KIM`BERLEY DRISCOLL IramdinnsAcm.com
LViRY Iz�ntDiN,Rs/REi Is,c;Ilo,c;r-ins
MAYOR HEAJA I I AGENC
CERTIFICATE OF FITNESS
CERTIFICATE#375-13
DATE ISSUED: 10/18/2013
Property Located at: 49 Essex Street UNIT#2R
Owner/Agent: Linda Locke
Address: 1 Pickering Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5035
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 'lZZA VIA0-4-m�v
120 \X/,V;FI1N(;MN
�, iuu,tia Vii% _
I7-,L- (978)7,11-i800
KJnLt;i;IZ1.IsY 1:)IuSt:Ul.t. P,\\' (978) 715-03111
I\'I A\'Olt. I,gpnn>trg(rl nLI;M c;4nl
:\It I{Y It„ PIIUIN, It}/ltl',I I; (:I I(1,
FIs ��a.st.�:Ba,l aIx cerofic ale of ass.a:c4
Nt\C:CL)I:I);\Nlai WI'I'ilSANITARY' COD 13, CIIAI'7'1 R 11., 105 CMI( 'IH) 000
"(V1INtiN1(Yvl STANDAR-DS OI ITI`NHSS FOR HUMAN HABITATION"
uj
UNI I
1.)'P BlIS U!'i I'1'1)l SIf,,NA1'1!:Il AS Pt1CII':�L&T I I_PO NT OI{)IJACK,PB,ISA.SX CIRCI,V ONK
I — /•/
✓ B(I.I1SS1;R /G' j J .�C ✓t- t"__.(_'iQZC �1!_'tr _M'IlN 1(.11a((A(iEttd'1' ( {C <f 1_t_. ,<?.l_'t.'t C.C_ �.
I'.0 t). BOX j t
- ADDRESS.----- --- . — .._.. . _ . ...
SII)I?NCIs I'IIUNIi BUSINISSS MINI (2/1111(';)__
ISINILSI'IIONI+
IAl.Nt,I`vIr>Gii ()I; ROOMS
'o l Us l iI z C�..F� � z•. 1 7~. -4 L) .I r�Z4.-r.�111> K►.!�1.- --
�-
I;RI? IS A Fktl'Y ($O) 1)0I,I,A1t FIT,, 11AYAI:fl, ', L'Y C il.iCK. OR IMONEY ORDER' 010 IiA;II'Y UI• SALF,M
AkI) OFI.UA-f,l'1i ':'ii1,; 1'l'I i51'til't113J_.I`. ;i'I'"11Ii:? '11U!1'.C)S (NSPI?C9'if).d
i'LI.'AN is
t/ I
In�ttc,c,l(rr5_us_C c. Duly_
9
c ou uliliza i s ;c{,li(;u: 1C? )S 11
c of Itis+lauc:c of ccl!I!icalc. �� —1 S _) Date fee viid:_.__.
)c(a!'tmil. Dwc1hilt ✓^ lilc:- .-- -----Check ll____
'.cs
lei'.uCorcauc:ul Lnspcc.tul
L
` ' ` C rry t)F SALEM, MASSACHUSETTS
FS
o...\iu)ov Hf...0:1n I
12U aJU.,151IING['ON S`I'R[.;I�r,4j" l�l.d)UIt
,. {978'f 741-1800
lilMlil'sR1..l.�;Y 1,)R[Sf;O1..I' K�t (978) 745-0343
MAYORj_rawin di a c>7sakii mm
L.\RRl'Po \bWIN,Its/Rlil Is,o lo,cP-hs
Facsimile
r_ Transmittal
To: t J co t C4,
Fax #
RE: ���xCf.GI GtilU
Date
W Page(s): including this cover#
Message:
Board of Health News 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 : 10/24/2013 21: 24
NAME :
FA`: : 9787450343
TEL : 9787411800
SEP.. # : 000BON341991
DATEJIME 10/24 21: 24
FA;; NO./NAME 919782825640
DURATION 00: 00: 38
PAGES) 02
RESULT OK
MODE STANDARD
ECM
¢o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s
120 WASHINGTON STREET, 4TH FLOOR
�pSo' SALEM, MA 01970
1� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
June 16, 2003
Chewmoy Ching Szeto
3611 Cochran
Houston, Texas 77009
PROPERTY LOCATED 52 Essex 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.
J lor the Board of Health Reply to
illl�
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
5/26/05
Francois Gauvin
10 Forrester Street Unit 2
Salem, MA 01970
PROPERTY LOCATED AT 52 Essex Street Unit 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
J ne Scott H, R� Pablo Valdez
Health Agent Code Enforcement Inspector
L
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
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
1/24/05
Zisis Veloukas
19 Sherwood Avenue
Peabody, MA 01960
PROPERTY LOCATED AT 56 Essex 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.
F r the Board of Health Reply to
41-
"1�
oanne Scott MPH, RS, CH Pablo Valdez
Health Agent Code Enforcement Inspector
v ,
CERT.# 724-97
3 FEE $25.00
DATE: 10/23/97
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
.QERTTFICATE OF FTTNESS
PROPERTY LOCATED AT: 56 Essex Street UNIT #: 1
OWNER/AGENT: Arthur Veloukas
ADDRESS: 58 Essex Street Aot- #2
CITY/TOWN: Salem- MA ZIP CODE: 01970 24 HOUR PHONE: 744-1820
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
0
� �- 97
6
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO
HEALTH AGENT NINE NORTH STREET
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". nn
PROPERTY LOCATED AT_jW X UNIT
OWNER/LESSER Ile MANAGER/AGENT
ADDRESS {� 0f 1ice?_X `,P, raa_* o _ADDRESS,}
CITY \ l j Lf.,f� CITY
RESIDENCE PHONE(-5_1_)k 7.6111: LM BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.�3, tll4 .
5. 6. 7, g.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEIS HRALTH DEPARTMENT THIS FEE IS TAYABLE AT THE TIME OF INSPECTION
APPLICANTS SIGNATURE,,C
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �� T1s 7j L( ) DATE FEE PAID: CO - 3 9'
TYPE OF UNIT: DWELLING
OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
a �
V
a
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel.(978)741-1800
Date: 09/30/97 Fax (978)740-9705
Zisis & Arthur Veloukas
19 Sherwood Avenue
Peabody, MA 01960
PROPERTY LOCATED AT 56 Essex 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 SECTIODI 105 CMR 410 . 154 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
4xv-lx_�X"_)�
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r
aCITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
07/18/2002
Zisis & Arthur Veloukas
19 Sherwood Avenue
Peabody, MA 01960
PROPERTY LOCATED AT 56 Essex 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.
I0OR
THE BOARD H T REPLY TO
anne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
l
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
04/09/2001
Arthur Veloukas
19 Sherwood Avenue
Peabody, MA 01960
PROPERTY LOCATED AT 56 Essex 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 410.000; 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 Cit of Salem is required for each unit inspected at the
$ P Y Y 4u P
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 BOARD 9f HEALTH REPLY TO
oanne Sco MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CERT.# 532-97
3 FEE $25.00
DATE: 08/06/97
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
CERTTFTCATF OF FITNESS
PROPERTY LOCATED AT: 60 Essex Street - - - - - UNIT #: 2 -
-OWNER/AGENT: John J. Bochvnski
ADDRESS: 7 Hillcrest Road
CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 631-1343
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 /
I
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
w
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:ISM)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 66 �fj _ UNIT I "
OWNER/LESSER MANAGER/AGENT
ADDRESS I�C1 B t t.a�l /_P..O ADDRESS
CITY ti ��e_��r.�—.,� _ ' CITY
RESIDENCE PHONE // 7 -/.3 / =/Z Ss; BUSINESS PHONE (24 HRS.)
BUSINESS PHONE —
TOTAL NUMBER OF ROOMS: .
ROOM USE: 1. 2. 3. 4.
5, 6. 7, 8,
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE
CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIRE OF INSPECTION
APPLICANTS SIGNATUREe � /+ n / �i
DATE
__ �T
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: ` DATE OF REINSPECTION y
DATE OF ISSUANCE OF CERTIFICATE:_? 4--f 7 DATE FEE PAID:
TYPE OF UNIT: DWELLING i OTHER
NOTES: c
CODE ENFORCEMENT' INSPECTOR
,r
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll www.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#63-06
DATE ISSUED: 2/16/06
Property Located at: 60 Essex Street UNIT#3
Owner/Agent: Patricia Nigro-Beland
Address: 60 Essex Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
F07THE BOARD OF H, �ALTH
�jLzt� /tel -�C•� � C/yO1�.S�".T -�'/
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
I
1 .
T � v
CITY OF SALEM, MASSACHUSETTS
'� BOARD HEALTH
S /
• • 120 WASHINGTON STREET, 4TH FLOOR D
SALEM, MA 01970
Xo
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, R5, 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 �� Llj�cLk UNIT# l3
IS THIS UNIT DESIGNATED AS RIGHT 1LEF�T FRONT BACK PLEASE CIRCLE ONE
OWNERILESSER ;e � d'F".& MANAGER/AGENT 159V":�2_
No P.O. BoxI_ CAnI,` No P.O. Box
ADDRESS bl),^,`/�' `f ADDRESS
CITY ��{�11�/Y) IYJff CITY A
RESIDENCE PHONE ! BUSINESS PHONE (24 HRS.) 92Z-)VO 6gce
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1._8.2 . 2. L '� 3. Ct4�a" 4. MA4144Z°^
5. —6.-7. 8.
THERE IS A TWENTY-FIVE($25.00) LAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEAL DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. q
APPLICANTS SIGNATURE 7 _ � / DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION ,-/& -v DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:-2 ,1 DATE FEE PAID: Z
TYPE OF UNIT: DWELLIN<OTHER_ CHECK# T S 9 CHECK DATE Z -1I o
NOTES.
CODE ENFORCEMENT INSPECTOR 9/28/98
Crry OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74t-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
RELEASE
In accordance with Massachusetts General Lavas 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 Lhat 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 anti description occasioned
by my/our absence during said inspection.
TEINII�NT'/ ,SSJE"y''
ADDRESS r DRE
—AL
Til
ADDRESS OF UNI'!' BB I?:SPECTEO
DA'iF -----
f
u
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
z 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
Kimberley Driscoll WWW.SALEM.COM
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
1/31/06
Nigro Realty Trust/Patricia Beland
60 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 60 Essex 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 he Board of Health i Reply to
J nne Scott MPH, RS, CHO `�— Pablo Valdez
Health Agent Code Enforcement Inspector
CERT.# 759-97
3 R FEE $25.00
DATE: 10/06/97
`i1�Y1fB
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: 64 Essex Street UNIT #: 1
OWNER/AGENT: Vikina Realtv Trust. Shawn Shea- Trustee
ADDRESS: P.O. Box 8586
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-1665
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
43-7
a
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(50B)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 64 Essex st UNIT 1 '2
OWNER/LESSER Viking Realty Trust/Shawn Shea MANAGER/AGENT
ADDRESS Box 8586 / 108 Broadway ADDRESS
CITY Salem Mass 01970 CITY
'RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 744-1665
TOTAL NUMBER OF ROOMS: 4
ROOM USE: ].Kitchen 2. Living 3. Bed 4. Red
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 DEPARTME THIS/WE IS PAYABLE AT THE TIME OF INSPECTION
�J
APPLICANTS SIGNATURE DATE /01 t
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: 10/6/97 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: iafbf97 DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER q�y
NOTES:
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
,f BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
� o
TEL. 978-741-1800
Q' FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
7/25/05
Viking Realty Trust
P.O. Box 8085
Salem, MA 01971
PROPERTY LOCATED AT 66 Essex Street Unit 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8.00 a.m.—4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist.
For the Board of Health Reply to
e cPH, RS, CHO Pablo Valdez
alth 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 USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
03/07/2002
Viking Realty Trust, Shawn Shea, Trustee
P.O. Box 8586
Salem, MA 01970
PROPERTY LOCATED AT 68 Essex Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
OR THE BOARD 9f HEALTH REPLY TO
oanne ScotE, 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
qe TEL. 978-741-1800
�'� FAX 978-745-0343
STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
06/13/2002
Viking Realty Trust, Shawn Shea, Trustee
P.O. Box 8586
Salem, MA 01970
PROPERTY LOCATED AT 68 Essex 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 BOARD HTH REPLY TO
oanne Scott,�JMPH,�RCS,,C�HO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
�ONUIT
b
3 9
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
03/01/2001
Rebecca Antoine
203 Washington Street #302
Salem, MA 01970
PROPERTY LOCATED AT 69 Essex Street UNIT # 1
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25 .00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
OR THE BOARD HEALTH REPLY TO
Joanne Sc t�HO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
ova' b� CERT.# 306-98
FEE $25.00
DATE: 05/19/98
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: 74 Essex Street UNIT #: 1
OWNER/AGENT: Roaer Bresnahan
ADDRESS: 11 John Wise Avenue
CITY/TOWN: Essex, MA ZIP CODE: 01929 24 HOUR PHONE: 744-7602
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
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 7 i I SS o'er(. i UNIT#
IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER &_60"t11-_nn f)ESNIMA*A�lANAGER/AGENT
J
ADDRESS It DIA-wJ As:5 ADDRESS
,
CITY S V"l a- o l c o l CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF :
,�F ROOMS
ROOM USE: 1. 99 2. Lk 3. 1.S(1 4. B/Tf 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 y
APPLICANTS SIGNATURE _ DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION Ste- //9— DATE OF REINSPECTION �c
DATE OF ISSUANCE OF CERTIFICATE: .-'/? F4ATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98
N
t R
mr�
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 Ceneral Laws Chapter Ili ; Code of Massachusetts
Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of
rhe 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 Lhat said inspection be done in my/our absence, l/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 agen.s
frora any loss or injury sustained of whatever nature and description occasioned
by my/our absence during said inspection.
TE19AA'T/LESSEE OW R/i FSSOR
ADDRESS ADDRESS
ADDRESS OF UNIT TO BE INSPECTED
i
DATE
c CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
Y
- $ 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01 970
TEL. 978-741-1800
' .FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
7/26/05
Roger Breshnahan
11 Johnwise Avenue
Essex, MA 01929
PROPERTY LOCATED AT 74 Essex Street Unit 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A$25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross-metering has been proven to exist
Fhe Board of Heal Reply to
�r u�
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
`'� , ,• {`,4 - +'. E �9 �, s-�a�T.' .', ,a Y _ x ', r „ b - r * -- X y xa^�'✓r
CERT.# 697-99
3 FEE $25.00
!p DATE: 11/18/99
rOPB
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: 74 Essex Street UNIT #: 3
OWNER/AGENT: Roaer Bresnahan
ADDRESS: 100 Washinaton Street _
CITY/TOWN: Salem, NA ZIP CODE: 01970 24 HOUR PHONE: 768-7234
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
-1�2
JO" STT, MPH,RS,CHO
HEALTH AGENT CO E NFORCE INS CTOR
i
I
��oxwr
n
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 7 `f'/ 658 6_1( Sr UNIT# 3
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER P10(-,57L ?fL6?d-A-u&4ANAGER/AGENT
No P.O. Box I , +11 �� No P.O. Box
ADDRESS L"n>7 C V� c� ADDRESS
CITY SAt45,m. V 111 CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE –7i3O 2
TOTAL NUMBER OF ROOMS: 4-
ROOM USE: 1. L V . 2. L 2 3. k IT 4. B>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.
APPLICANTS SIGNATURE —DATE ) �–D41
SPECTORS USE ONLY
DATE OF INITIAL INSPECTION /// DATE OF REINSPECTION 9Q
l
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_//`/i/5'9
TYPE OF UNIT: DWELLING _OTHER_ CHECK# CHECK DATE 9
NOTES:
�J ase �i • �/Q�
CODE ENFORCEMENT INSPECTOR 9/28/98
f
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
10/20/99 Fax:(978)740-9705
Eastern Bank & Trust Co. c/o Roger Bresnahan
11 John Wise Avenue
Essex, MA 01929
PROPERTY LOCATED AT 74 Essex 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 410.000; 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.
4OR
THE BOARD HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
NutT
CERT.# 60-99
=' FEE $25.00
DATE: 02/04/99
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: 83 Essex Street UNIT #: 1
OWNER/AGENT: James Bailev
ADDRESS: 81 Essex Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0685
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
gar
OANNE SCOTT, MPH,RS,CHO " -
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
L h
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 �a�C S- UNIT# 1
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER A-noS A4 MANAGER/AGENT
ADDRESS FZ �2�i1L 5 r,-- ADDRESS
CITY 1 Al
&_-- CITY
RESIDENCE PHONE 7���b S� BUSINESS PHONE (24HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS.s'
ROOM USE: 1.4—2 3. 4. ��_
5AL�f 6.__B0,4' 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 / Q
APPLICANTS SIGNATURE t °l `.iC DATE a
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
L
DATE OF ISSUANCE OF CERTIFICATE:'DATE FEE PAID. Z Z F�
TYPE OF UNIT DWELLING OTHER__
NOTES.
CODE ENFORCEMENT INSPECTOR
5/19/98
CITY OF SALEM, MASSACHUSETTS
• + BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR
TEL. (978) 741-1800
KINIBERLEY DRISCOLL FAX(978) 745-0343
MAYOR xacra:Nrnun�7 nra_.nLconl
DAvtD GRI3BNBAOM
ACTING HFW-'n"I AGL4N,I,
CERTIFICATE OF FITNESS
CERTIFICATE#70-10
DATE ISSUED: 2/16/2010
Property Located at: 83 Essex Street UNIT#2
Owner/Agent: James Bailey
Address: 188 Derby Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-0685
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
DA�4RE
EN AUM
ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR
QTY OF SALEM, MASSACHUSETTS
1 d�� BOARD OF HEALTH
-i
120 WASHINGTON STREET,4"'FLOOR
TEL.(978) 741-1800
KIMBERLEY DRISCOLL FAX(978)745-0343
MAYOR DGREENBAUM@SALEM.COM
DAVID GREENBAUM,
AcnNG 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."
c� FEE: $50.00
PROPERTY LOCATED AT J3 csScX S I UNIT# Z
IS THIS UNIT D'ISSIGNA/TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER �) i--ma s I"��1 W MANAGER/AGENT C1r c.C,r�_ Ak)cb
NO P.O.BOX i
ADDRESS �Q ADDRESS lvLk1_Yw I h
- II i
CITY, STATE, ZIP SL\ � M1 C�1 v CITY, STATE, ZIP �I/�.-zmN 1 ��
RESIDENCE PHONE "I )`3— �" OG �� BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: /
ROOM USE: 1. )4/, _4 Le., 2. v n4 3. I 41� 5.1�, A
6. 7. U 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
/A��1TiTHE TIME OF INSPECTION
11)
APPLICANT'S SIGNATURE2,U>%r DATE 2.I
/ Insnectors use only
Date on initial inspection: A If u //V Date of reinspection:
Date of issuance of certificate: 01/1(d/0 fee paid:Date f i • d
t
Type of unit: Dwelling ✓Other Check#,r Check date: a!<(0 bo
Notes: ( e r, 14u7 h 1216 01V . I r in S Ue?lt- (n l6/ Otn
1A,)Cl-k,- .a vr�c� , . � - l til<r fiv ��� -JAI - Cell aw b'4
Code Enforc�nt Inspector
i
co CITY OF SALEMa MASSACHUSETTS
BOARD OF HEALTH
Si
120 WASHINGTON STREET, 4TH FLOOR
1 , UAo 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#199-08
DATE ISSUED: 4/30/2008
Property Located at: 85 Essex Street UNIT#2
Owner/Agent: James Bailey
Address: P O. Box 3062
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
go-s�� 4&4�
JOANNE SCOTT, MPH, RS, CHO y} IJ Q .
HEALTH AGENT COf ENA RC ENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR ISCOIT0,SALEM.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 HUMA HABITATION."
PROPERTY LACATED UNIT# 1`
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSERMANAGER/AGENT
NO P.O. BOX
ADDRESS 4Z,
ADDRESS
CITY,STATE,ZIP S�i9-� A&' CITY,STATE,ZIP
RESIDENCE PHONE 9>7k 7 yt—f 4,D$BUSINESS PHONE(24HRS)
BUSINESS PHONE 97.Ft-62 2-72.S-
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. ,8/2 3. 73/ie 4. k—,1-6,4- 5.
6. 7. 8. 9, 10.
THERE IS A TWENTY-FIVE($25 D LLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HE THIS FEE I AYABLE AT THE TIME OF INSPECTION �/
APPLICANTS SIGNATURE 4>� DATE "T/DWD`V
Insnectors use onlv J
Date on initial inspection: I30l g Date of reinspection: LD
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# Check date:
Notes: VPSOWPle (1 J?rl� Ih K Ir/�4P
d nforcement Inspector
i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
n 120 WASHINGTON STREET, 4TH FLOOR
�(Aa SALEM, MA 01970
' - '
TEL. 978-741-1800
'hINB
FAx 978-745-0343
7 -745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE# 198-08
DATE ISSUED: 4/30/2008
Property Located at: 85 Essex Street UNIT#3
Owner/Agent: James Bailey
Address: P O. Box 3062
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 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
(::;TH *OENFOR
J ANNE SCOTT, MPH, RS, CHO
HEALTH AGENT ENT SPECTOR
• CITY OF SALEM MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4" FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL Fax(978)745-0343
MAYOR ISmTrna SAIX.M.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 HUMA HABITATION."
PROPERTY LACATED AT 5� C- UNIT# 3
IS THIS UNIT DISIGNATEb AS RIGHT LEFT FRONT ORB. ACK,PLEASE CIRCLE ONE
OWNER/LESSER 1E�w. of �sAt MANAGER/AGENT
NO P.O.BOX
ADDRESS 50V �i /0 G 2— ADDRESS
CITY,STATE,ZIP .SA—Cs,- /"/� G i 9 D CTTY,STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: L.)-Ie 2. ,e 3,���� 4. 6 5.
6. 7. 8. 9. 10.
THERE IS A TWENTY-FIVE($25 FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF
SALEM BOARD OF HE THIS IS PAYABLE AT THE TIME OF INSPECTION '/
APPLICANTS SIGNATURE s' ��iia DATE?/130/6
Inspectors use onlv
Date on initial inspection: �I�Q $ Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of,unlit::, Dwelling L Other Check# Check date: n
Notes: R�tI`�m UQ/1V` i (Ihi �V14 m >IIjIVclycfl t(\ tVf)Y1t ( g1l69—
>nA dt
Codelforcement pector
r
,r
�ONOIT
CERT.# 268-99
`—' FEE $25.00
_ro a DATE: 05/26/99
��/AI�ygW
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: 92 Essex Street UNIT #: 1
OWNER/AGENT: Diane Ahmed-Carro
ADDRESS:- P.O. Box 384
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-6614
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 4 U7_ /
�I
1-0-0�10e)�
A/
ANNE SCOTT, MPH,RS,CHO / /
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r .co rT C/J
�s W
�Wry1rygCA
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Ter(978)741-1800
Fax:(978)740.9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT_ ,af�s � UNIT#1
IS THIS UNIT DESIGNATED AS I TEEF FON BACK PLEASE CIRCLE ONE
OWNER/LESSERcy�" Tl tr(DANAGER/AGENT
No P.O. Boxp�� No P.O. Box
ADDRESS FOA' 2 ' ADDRESS
CITYYp �a � CITY
RESIDENCE PHONE214-(Ao t BUSINESS PHONE (24 NRS.)
BUSINESS PHONE (�
TOTAL NUMBER OFF ROOMS: j�
ROOM USE: 1. R 2. 'L. l 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. - yyQ�
^� ��q
APPLICANTS SIGNATURE .i � DATE 1Z!7r [n
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION J 'sZ6��F DATE OF REINSPECTION
l/ -97
DATE OF ISSUANCE OF CERTIFICATE_/o;) a �F`/ DATE FEE PAID:
TYPE OF UNIT: DWELLING 1_OTHER_ CHECK# 1 7 _o CHECK DATE ,e�-V_L6 f-f
NOTES
CODE ENFORCEMENT INSPECTOR 9/28/98
r
ti
0
NUIT I
CERT.# 267-99
FEE $25.00
DATE: 05/26/99
���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: 92 Essex Street UNIT #: 2
OWNER/AGENT: Diane Ahmed-Carro _
ADDRESS: P.O. Box 384
CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-6614
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 976-741-1800.
FOR THE BOARD OF HEALTH /7/I
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
( + -' ....
1
` �ONU1T
Q �
n �
���MIIVB W
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
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax (978)740-9705
"MINIMUM STANDARDS OF FITNESS FOR HUMYA-
SS-P/)C N HABITATION".
PROPERTY LOCATED AT -Iii Ev I UNIT#�R
IS THIS UNIT DDES�IGNAAT�E,,D A R_IGHIT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER..�IWU( Ctf(OMANAGER/AGENT
No P.O. Box'P' r,,' No P.O. Box
ADDRESS �f•O. �d1 F( ` ADDRESS
CITY 1�lAY)VQ Vs / 17CCITY
RESIDENCE PHONEM'A-66 �`4 BUSINESS PHONE (24 HRS.)
BUSINESS PHONE I
TOTAL NUMBER OF ROOMS: l_n `� �,�� }
ROOM USE:
` 1�. 2�, f� 3. . 1 �71�144 .��Ci�
5�6.-WA(O\t-,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. n. , ( qQ
APPLICANTS SIGNATURE �/ IC�II�Q \ ND/Mh -� O DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTIONS--k -0 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATES 6 fDATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER_ CHECK#%7 TD CHECK DATE � 4
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
� a
120 WASHINGTON STREET, 4TH FLOOR
�a SALEM, MA O 1970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
June 11, 2003
Diane Carro Ahmed
P. O. Box 384
Danvers, MA 01923
PROPERTY LOCATED 94 Essex 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 Healt,h Reply to
(((Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
r ~
J
w CERT.# 660-97
3 - " FEE $25.00
DATE: 09/25/97
��rMll�
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
CERTIFTCATE OF FITNESS
PROPERTY LOCATED AT: 94 Essex Street UNIT #: 1st Floor
OWNER/AGENT: George Ahmed
ADDRESS: 102 Colim-hus Avenue
CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 744-1464
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 )7/
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 Tek:(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 9f 'fJ -y (f'fjp�icT UNIT €/?*—
OWNER/LESSER 6F7c leGr-- ,9ymA_-7O MANAGER/AGENT If�1tiJ TT
ADDRESS,/02 eo/vA".4Lt/' pee ADDRESS
CITY �/.tl).� ryi CITY !1
RESIDENCE PHONE 7 yy- !JgO4 BUSINESS PHONE (24 HRS.)'J}t 1�e6
BUSINESS PHONE 7.y
TOTAL NUMBER OF ROOMS: J
ROOM USE: 1 . 1 t v 2•
5.��� 6. 8
THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DEP TME HT THIS FEE AT THE TIME OF INSPECTION
APPLICANTS SIGMA _ DATE `I/ ?
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: } ',F 7 DATE FEE PAID: 5;
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
yf CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
d.
120 WASHINGTON STREET, 4TH FLOOR
9 SALEM, MA 01970
.� TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
May 8, 2003
Elizabeth Read
95 Essex Street
Salem, MA 01970
PROPERTY LOCATED AT 95 Essex 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
Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
CERT.# 151-97
3
FEE $25.00
DATE: 03/10/57
h�
CITY OF SALEM BOARD OF HEALTH
Sa!ec1, 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: 95 Essex Street UNIT ti: 1
OWNER/AGENT: Clifford T. Hughes
ADDRESS: 42 Forster Road
CITY/TOWN: Manchester, MA ZIP CODE: 01944 2=i HOUR PHONE: 526-4463
?.N INSPECTION OF YOUR VACANT Di%ELLING/ROOMING UNIT AT THE ABOVE ADDPF;S 'i,'-_,
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 R THE BOARD OF HEALTH
i
v
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
3
�) p
L'(11i� 5 i997
C ;Ys." ,raL
CITY OF SALEM BOARD OF HEALTH I"° AL T`'
Salem, Massachusetts 01970-3928 ,51 9�
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".
PROPERTY LOCATED AT !,f --- UNIT # /
OWNER/LESSER9/ MANAGER/AGENT
ADDRESS 7 a- /er� ADDRESS
CITY /!' 444�( � // CITY
."RESIDENCE PHONE 5i ' '7 i/ BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
5�
'TOTAL NUtwER OF R00'riS: ,.,( /� ,�J -
ROOM USE: 1 . LR 2. lei /j'/� 3. elft 4 .
5. 5. 7. S.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PA ABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM TMALTH DEPARTMENT THIS E Z Y LE AT THE TTW OF 377
NSP TION
APPLICANTS SIGNATURE DATE /�___
INSPECTORSSS USE ONLY
DATE OF INITIAL. INSPECTION:- -'-37 �D ( 7 DATE OF RF1145FEC710N
DATE OF ISSUANCE OF CERTIFICATE: 3 0 'C/ 7 DATE FEE PAID: O
TYPE OF UNIT: DWELLINGY OTHER
NOTES: c
CODE ENFORCEMENT INSPECTOR
5
V. W,
q_0
4.%
FRO
q,
Z9
p
7
t tOF�,SALEM BOAMOF HEALTH
Salem;Massachusefts'01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(508)741-1800
Date 02/10/97 Fax:(508)740-9705
Clifford Hughes
42 Forster Road
Manchester, MA 01944
PROPERTY LOCATED AT 95 Essex 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.
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-live (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.
aEE_MNC.T,OqRT) qVC.TTON 105 CMR 410-354 ?AETLERINr OF GAS & FLECTRTCTTY.
Very truly yours,
FOR THE BOARD OF HEALTH REPLY TO
'4e; '0004�
Vioanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
f
c CITY OF SALEM9 MASSACHUSETTS
HEALTH AGENT
4 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-743-0343
KIM13ERLEY DRISCOLL JSCOTTQSALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#457-07
DATE ISSUED:9/1712007
Property Located at: 96 Essex Street UNIT#2
Owner/Agent: Shelly Stuler&Patrick Schultz
Address: 17 Valley Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/RoomingUnit at the above address has been approved
and is in compliance with 105-CMR 4.10-00. Massachusetts-State-Sanitary-Code, Chapter 11" .
Minimum Standards of Fitness for Human-Ha6i!Tian".
Therefore,this Certificafeis.issued_by-the Code-EnR=ement-DMsion of the-Salem-Board of
Health and the unitmay-now bexentati andloc occupia .
Maximum Number of ocaupants„�p with 105 CMR.449.000.
Certificate valid for one year from date of issuance or unfit the current tenant vacates,whichever
is later.
This Certificate of Fitness Is valid ontyif_there.is-a-validCerfificate ofOceupancy. ,
FOR THE BOARD OF HEAL-T_R
JOANNE =COMPHRS-,CHO _
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
/ \ CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR I
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 FITN(E�S/S, FOUR HUMAN HABITATION'.
PROPERTY LOCATED AT l�✓ (iSSC� ,1 UNIT 4
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERSWIL} JI),LVr-/ 4L 1C�-��NAGEfiR/AGENT
No P.O. Box . / 1 CC No P.O. Box
ADDRESS1 ] VaI(N `l� ADDRESS
CITY SAL,�_M MA- 0)'i10 CITY
RESIDENCE PHONE lv)c6, 1Y'O 564BUSINESS PHONE (24 HRS.)
BUSINESS PHONF _ 4� 1� ��) S T7 (pafw_(C.0
TOTAL NUMBER OFROOMS-
ROOM USE: 1 2 cLhk%K . DR 4, 01Z
5. Q0 R 6 M 2u �1� 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. !! pp /�
APPLICANTS SIGNATURE A" ' DATE �� ' J ' 7
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION '/— 17 1 '0 7 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: �I DATE FEE PAIDq_
TYPE OF UNIT DWELLING _OTHER_ CHECK CHECK DATE-)1.j/jUj
NOTES
CODE ENFORCEMENT INSP CTOR 9/28/98
�w
�ONU/T
CERT.# 584-98
FEE $25.00
a x DATE: 09/18/98
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: 97 Essex Street UNIT #: 1
OWNER/AGENT: Jessica S. Herbert
ADDRESS: 97 1/2 Essex Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4360
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.
i
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
AIL
c 3 m
CI(AIF 0
O � J Flo- �, � �, . ��o ~I NNNN'"'✓'
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH S.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 97 C t.)f. J�-� UNIT#
IS THIS UNIT DESIGNATED AS IGH .LEFT RONT BACK PLEASE CIRCLE ONE
OWNER/LESSERSi� ANAGER/AGENT
ADDRESS _ 11Gf+ ' ADDRESS
CITY _' dUA 0,I// 7U CITY
RESIDENCE PHONE )) 7 `if �3tin BUSINESS PHONE (24 HRS.)
BUSINESS PHONE (� Q
TOTAL NUMBER OF ROOMS: ,/ 74 a 6
ROOM USE: 1. 44 2. , / 3)6f—4.��f<
5.G 6.G 7. 8.
THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SA HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION 9
APPLICANTS SIGNATU �G% E /' C3— 0p
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION �� — q DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE/--/Y �l8 DATE FEE PAID: Y 9 "—Y
TYPE OF UNIT: DWELLING OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98 SEP
GITY OFI TL
SALEM
HEP._
SEP 03 '98 08: 37 AM SALEM HEALTH +5097409705 Page I
Y s
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tol:(508)741.1800
Fax:(508)740.9705
RF 1.EA89
In accordance with Massar:husetts General Laws Chapter III ; Code of Massachusetts
R:.-gu)ations 410.000 et. 'seq, ; State Sanitary Code Chapter 1.1 and Article X111 of
the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit
of residcrit'ja l prupe.rty, hereby authorize the Salem Bo; rd of Ilealth or its author-
ized agents to inSpnc.t the residence identified below iu accordance with the
aforementioned sLaLuteS , regulations and ordinances . .
In Cie ovent it is ; eceSSary that said inspection be done in my/aur absence , 1/we
expressly 3vthori2c the same and fat my/our successors and assigns liere,hy lelras,
and discharge the City of Salem, Salem Board of He.alrh r.nd its authorized al;aat:,
`rora -aoy 10s� C.r-.-injury s�.slainr:d of n;ha.Levetnature and descriptinn occasioned- -
by my/nur absence during; said inspection .
!F.NA'\'"1'/L OWNER/i,FSSOIt
� z kZIr
SSr
,SlrinitF`.`. C IInlI � I�1 ;if lit[,I'P�'I'l'(1
,SEP 17
1998
HEA H DEPT'
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: 08/29/95 Fax:(508)740-9705
Stevan Gauthier
95 Federal Street U4
Salem, MA 01970
PROPERTY LOCATED AT 97 Essex 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 1-27B, 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 HrEAwLTTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
'
COO
I
CITY OF SALEM HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 019
q 9 NORTH STREET
508-741-1800 _ pp- '/ Al
DATE: April 21, 1994
Terryanne St. Pierre
11 Collins Street
Salem, MA 01970
PROPERTY LOCATED AT 97 Essex Street UNIT 0 I
DEAR SIR/MADAM:
It has come to our attention, that you are about to allow rental of 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.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter III , Sections 127A and 127B,
of. the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, 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 upon issuance of Certificate.
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 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS 6 ELECTRICITY
Very rt'uly yours,
FOR THE BOARD OF HEALTH REPLY TO:
_ PABLO VALDEZ
` Code Enforcement Inspector
HEALTH AGENT
r
J.
AMM[
CITY OF SALEM';HEALTH DEPARTMENT
BOARQ''OF HEALTH
Salem, Massachusetts 01970
- ROBERT I- BLENKHORN 9 NORTH STREET
HEALTH AGENT
508-741-1800
DATE: June 2; 1992
T S P Rea v Trust
Terry Anne Pie a Truste
1 Washineton . 304 ���� / CJ ACU
Salem, 01970 6�0
PROPERTY LOCATED AT 97 Essex Street UNIT 0
DEAR SIR/MADAM:
It has come to our attention, that you are about to allow rental of 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.
yEach 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 400.000: State Sanitary Code, Chapter I:
General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chap-
ter II: Minimum Standards of Fitness for Human Habitation, and in accordance with
Chapter II, Article XIII of the City of Salem Code of Ordinances, 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 upon issuance of Certificate.
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 8a.m. - 4p.m. , Thursday 8a.m. - 7p.m. , or Friday 8a.m. to
noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS S ELECTRICITY
Very t4ruly'yours,
FORTHEBOARD OF HEALTH REPLY TO:
rL_'t(!' Pablo Valdez
Robert E. Blenkhorn, C.H.O.
Health Agent Code Enforcement Inspector
f
t.
CERT.# 695-97
FEE $25.00
DATE: 10/03/97
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax:(978)740-9705
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 97 Essex Street UNIT #: 2
OWNER/AGENT: Stevan J- Gauthier
ADDRESS: 95 Federal Street #4
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4360
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 ,/
��� @6 V
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
p6
GIN 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 SAN ITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ?7 ( � /���}���-S-f
OWNER/LESSER `.kms t J, /J3���' MANAGER/AGENT `-� ,� // ,l 'x7
ADDRESS AD
�S R o — DRESS 9,5 14 6 �T�S-CT
CITY CITY
RESIDENCE PHONE G BUSINESS PHONE (24 HRS.)
BUSINESS PHONE i c5 t� } L) S`7 - ?06 —
� . 1
TOTAL NUMBER OF /ROOMS.
ROOM USE: 1. d. /� 2. / 4r/ / 3. j� 4. 15�
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 OF INSPECTION
APPLICANTS SIGNATURE DATE 1C� - -?-7
/ - v
INSPECTORS/USE ONLY
DATE OF INITIAL INSPECTION: L /pA,Ey OF REINSPECTION �3
DATE OF ISSUANCE OF CERTIFICATE:/am -'y / DATE FEE PAID:
TYPE OF UNIT: OWELLIN OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
.l N
3
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Date: 09/29/97 Fax:(978)740-9705
Stevan J. Gauthier
95 Federal Street #4
Salem, MA 01970
PROPERTY LOCATED AT 97 Essex 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.
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 10S 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 ENCLGSFD SECTION 105 CMR 410.354 METERING OF GAS & EL.ECTRICITY.
Very truly yours,
FOR THE BOARD
OjAF, 'HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CERT.# 614-97
3 " FEE $25.00
DATE: 09/04/97
MRB
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: 97 1/2 Essex Street UNIT #: 1
OWNER/AGENT: Steven Gauthier
ADDRESS: 95 Federal Street
CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-4360
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
M1 q
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
/HABjIT�ATIOON�". �1—
PROPERTY LOCATED AT �? /7i t��6C C 7� `� UNIT / 0,
OWNER/LESSER
�� � ��� MANAGERIAGE�NfT�VJ t!l!` 4yXW e- /ms'
QrY�6ADDRESS ADDRESS
CITY f`JtALj�1
1
CITY
'RESIDENCE PRONEr6-P9>) "7(4u Q/3 b BUSINESS PHONE (24 MRS L�
BUSINESS PHONE
1.
TOTAL NUMBER OF ROOMS:
ROOM USE: 2. J 3, Alp . 4,
5. CC( r 6. /� 7. t/ 8.
THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM HEALTH DE THIS FEE IS VPTZ TIME OF INSPECTION
APPLICANTS G TDRE i � �' 7
/ INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: J �( � DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 4'7,Gf' --z�/7 DATE FEE PAID: 7
TYPE OF UNIT: DWELLING OTHER
NOTES:
I
CODE ENFORCEMENT INSPECTOR
T
V
8 5
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: 09/12/96 Fax:(508)740-9705
Steven Gauthier
95 Federal Street, U4
Salem, MA 01970
PROPERTY LOCATED AT 97 1/2 Essex 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,
FO THE BOARD OiA� REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
• • BOARD OF HFALTH
120 WASHINGTON STREET,4O1 FLOOR
TEL. (978) 741-1800
K A4BERLEY DRISCOTA. FAx(978) 745-0343
MAYOR DGREENBAUMa( SAS EM.COM
DAVTD GItEENBAum,RS
ACTING HIAL:TI-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 102-11
DATE ISSUED: 4/1/2011
Property Located at: 99 Essex Street UNIT# 1
Owner/Agent: Albert Masone
Address: 99 Essex Street Unit 2
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 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.
FORTH BOA F HEALTH
DAVID GREENBAUM, RS
ACTING HEALTH AGENT CODE E RCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
vim#%
BOARD OF HEALTH
120 WASI-IINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR ucarl=.w;. ualns: I,r;na.COM
DAVID G REF_NBAUM,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 Q& 65s5ex -,-m.Y v UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER A\L.'f V, Mss P-- MANAGER/AGENT
NO P.O. BOX
ADDRESS Cq ADDRESS
CITY, STATE, ZIP Cm410 CITY, STATE,ZIP
RESIDENCE PHONE -\S\ $ssii cci. P BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: Co
ROOM USE: 1. L2 2. Uk 3. 4. P: v 5. C�V-�: m-
6. mr-d 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 L r aMT—y �I�._S�_ DATE A (>e.
Inspectors useno Iv
Date on initial inspection: II I I Date of reinspection: //
Date of issuance of certificate: LI1 Date fee paid: I//I
Type of unit: Dwelling—�)ther Check# /�Q�L� Check date:/
Notes: (4( "wbm -fur ,Rk.
Cod of cement Inspector