The URL can be used to link to this page

ESSEX STREET 300-3999r CERT.# 362-01 FEE $25.00 DATE: 07/31/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT Tel:(978)741-1800 Fax. (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 300 Essex Street UNIT #: 7 OWNER/AGENT: Jack Levin ADDRESS: 298 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 825-9050 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 / l JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CONOIT� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 120 WASHINGTON ST. 4TH F JOANNE SCOTT, MPH,RS,CHO XMlk10"D9KMSXX 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 �C,IJ SSC S� UNIT# 7 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER *<K ! EVt ^� MANAGER/AGENT O(P LS �f2 ( LY3UL Rf No P.O. Box D No P.O. Box ADDRESS a�`i X sS- ADDRESS 17Z) SSS JCS kp 3 CITY rITY SG)L � /"L MQ^ O/6{ 7 0 RESIDENCE PHONE BUSINESS PHONE (24 HRS.)��o)U �S BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1�=�, !QI-2. &)1�3 'aA i°'`4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE �%V _ DATE O 7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7� ( - 0 ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:?, 3 ( —O / DATE FEE PAID: ?, 3 TYPE OF UNIT: DWELLING� OTHER_ CHECK# 3 CHECK DATE� ti/ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 4 � g,��ONU1T v CERT.# 578-00 ,yn FEE $25.00 DATE: 09/06/2000 c� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, HIS,CHO NINE NORTH STREET HEALTH AGENT Tel'(978)741-1800 Fax (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 300 Essex Street UNIT #: 9 OWNER/AGENT: Jack Levin ADDRESS: 289 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3887 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD 0 HEALTH JOANNE SCOTT, MPH,RS,CHO _ HEALTH AGENT CODE ENFORCEMENT INSPECTOR �S>-6-f' r NUIT o X34 t 9B��MIN600� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel. (978)741-1800 Fax (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ii, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT '?)00 UNIT#_7 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER "$(ACV, , J/A_) MANAGER/AGENT No P.O. Boxg No P.O. Box ADDRESS8� CSSSFiIs ADDRESS 3UCJ �SSF� Si CITY SA�-�� CITY 51_�E e "q RESIDENCE PHONE 6 7 Ti 1*J ---W7 BUSINESS PHONE (24 HRS.) (9 7.3) P^3 S - O y0-0 BUSINESS PHONE TOTAL NUMBER OF ROOMS: C ROOM USE: 1�1✓/aUG 2. PfWcOn. 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 HEA TH PEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION r'I _ b 'l6'0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE4; r G' rJ DATE FEE PAID:CIS G' TYPE OF UNIT: DWELLING OTHER_ CHECK# 7 v CHECK DATE A - G P NOTES: r CODE ENFORCEMENT INSPECTOR 9/28/98 Ilk �yiPM. 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: 07/18/95 Fax:(508)740-9705 Three Hundred Essex Street Trust, Jacob Levin, Trustee 47 Stanley Road Swampscott, MA 01907 PROPERTY LOCATED AT 300 Essex Street UNIT # 9 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. (502) 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 � vg��ONDIT .4 CERT.# 363-01 FEE $25.00 DATE: 07/31/2001 AM CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 Fax: (978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 300 Essex Street UNIT #: 10 OWNER/AGENT: Jack Levin ADDRESS: 298 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 825-9050 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 04970-3928 120 WASHINGTON ST. 4TI JOANNE SCOTT,MPH,RS,CHO XNMBRRig9 Y: HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800 Faz:(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 3Gc'� z S-S �" UNIT#1� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O.Bo No P.O. Box ADDRESS�`e S5 2C '�`- ADDRESS 3!9. 1�55'4X CITY �?AL�4 ` MA CITY 502q /- /t't ^ RESIDENCE PHONE RUSINESS PHONE (24 HRS.��I< BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: (M 3. . 5. &. 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 j/r/ DATE7/3// Y f INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7— 3 ( �O r DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ' t 2'/ DATE FEE PAID: 2 '' TYPE OF UNIT: DWELLINGG OTHER_ CHECK# / CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 0/28/98 mCERT.# 386-01 FEE $25.00 DATE: 08/14/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 Fax: (978)745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 300 Essex Street UNIT #: 11 OWNER/AGENT: Jack Levin ADDRESS: 298 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 825-9050 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 F HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR n 4 3 9. n� INN CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO 120 Washington Street HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax: (978)-745-0343 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 30D F-SSOX S t UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASECIRCLEONE OWNER/LESSERvi 11 MANAGER/AGENT Cl!l'21SrDP��R 643 -�12� No P.O. Box No P.O. Box ADDRESS �G14 c� jC S'6" ADDRESS 3C�Z� �SSEx ASI— 3 CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) (c7 5-- 90 BUSINESS PHONE Ce--77 TOTAL NUMBER OF ROOMS: ROOM USE: 1ku•y-l'l^2. p,9,t&1f-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 IS FEE IS PAYABLE AT THE TIME OF INSPECTION.APPLICANTS SIGNATURE / 5�O�'e DAT INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Cir I `!` iJ � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -V/ DATE FEE PAID: TYPE OF UNIT: DWELLING /A�OTHER_ CHECK# S CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ¢ F 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 3/11/05 Three Hundred Essex Street Trust/Jacob Levin TR P.O. Box 59 Hamilton, MA 01936 PROPERTY LOCATED AT 300 Essex Street Unit 12 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 vJoanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 1 \ r ne CERT.# 361-01 _ FEE $25.00 .r� DATE: 07/31/2001 �Mpyg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street Tel: (978)741-1800 Fax: (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 300 Essex Street UNIT #: 12 OWNER/AGENT: Jack Levin ADDRESS: 298 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 825-9050 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 Zane,--- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR '01 SP M c CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 120 WASHINGTON ST. 4TH I JOANNE SCOTT, MPH,RS,CHO gRM0DTXXEMgyREzgg 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 3cs� f SSS UNIT# p • IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE r OWNER/LESSER MANAGER/AGENT C`��2tS�bg( 2 57� /tJ No P.O. Bo No P.O. Box ADDRESM49 ADDRESS X95 4SS�cK 5�l�¢�i 3 CITY SAuvM P-xA— CITY 5e5VL(i RESIDENCE PHONE BUSINESS PHONE (24 HRS.�� 15 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ^^ ROOM USE: 1�' r 2.4-11`-v--3.�. 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 //lid DATE-7 3�/O/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2 -off DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3 DATE FEE PAID: 7 I TYPE OF UNIT: DWELLING OTHER_ CHECK# _-9 Z 3 CHECK DATE 7 / —ol NOTES: `J CODE ENFORCEMENT INSPECTOR 9/28/98 r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ® 120 WASHINGTON STREET, 4TH FLOOR � CERT.# 233-02 SALEM, MA 01970 -`� FEE $25.00 qeW"' TEL 978-741-1800 DATE: 04/30/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 300 Essex Street UNIT #: 13 OWNER/AGENT: Three Hundred Essex Street Trust ADDRESS: 300 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 825-9050 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 10=E SCOTT, MPH, HO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Y 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 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 3c�o ��. UNIT#13 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE �� OWNER/LESSER MANAGER/AGENT k(-S No P.O. Boxes No P.O. Box c ` ADDRESS 3� ADDRESS 3� �r�c S� CITY CITY SfJo C' l"I A RESIDENCE PHONE BUSINESS PHONE (24 HRS.rp0q�S_ ciros—c-, BUSINESS PHONE TOTAL NUMBER OF ROOMSi ROOM USE: 1. Fr 2. (C3D , -4' 5. & 7 w 8 9 -! THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT T IS FEE IS PAYABLE ATT E TIME OF INSPECTION. APPLICANTS SIGNATURE �i//G,? A4DATE U� INSPECTORS USE ONLY DATE OF INITIAL'INSPECTION z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:'�F'36 v Z DATE FEE PAID: TYPE OF UNIT: DWELLING'BOTHER_ CHECK CHECK DATE��"p29"0 i NOTES: J�\ CODE ENFORCEMENT INSPECTOR 9/28/98 fp I ` CITY OF SALEM, MASSACHUSETTS .j BOARD OF HEALTH m 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL .1SCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#009-08 DATE ISSUED: 1/17/2008 Property Located at: 314 Essex Street UNIT# 1 Owner/Agent: Juana Jinoa Address: 414 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 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 JO NN , MPH, RS, CHO FC / /HEALTH AGENT INS CTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 0eq-08 • + 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". / PROPERTY LOCATED AT 3 I If ES 514 ,X S-i ` UNIT#�f IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-3A)AA/A S t QI)A_MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS (A f'5.5nl -S ADDRESS CITY4)6t4^'vLa 7V CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5� ROOM USE: 1.�L_2. L 3. 4. T7 5.�2 7 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. 1 ! APPLICANTS SIGNATUREX jf,,yJd� � tJ ' ^- DATE t —09 �� JJ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION —05' DATE OF REINSPECTION__ DATE OF ISSUANCE OF CERTIFICATE:_/--I-? nLrDATE FEE PAID:__-_/� TYPE OF UNIT: DWELLING OTHER._ CHECK#_Z.3 tT CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 l s % CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(978)741-1800 02/07/2000 Fax:(978)740-9705 William & Patricia Pitkin 8412 Echo Drive Pasadena, MD 21122 PROPERTY LOCATED AT 333 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. OR THE REPLY TO oanne Sco , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 450-96 FEE $25.00 5( DATE: 07/16/96 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: 333 Essex Street UNIT #: 3 OWNER/AGENT: Patricia Perkin ADDRESS: 8412 Echo Drive CITY/TOWN: Pasadena. MD ZIP CODE: 21122 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 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. �OR THE BOARD C,�F' HEALTH � ✓ 9 v JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 03970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(506)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 OWNER/LESSERG "j;U MANAGER/AGENT ADDRESS / �r �b /Z ADDRESS / A CITY rsem? alol&A. Ad� � r 1 '7 ? CITY =RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: 7` ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A xwnnLt cxvn (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 J DATE OF INITIAL INSPECTION:_7– ! DATE OF REINSPECTION ! DATE OF ISSUANCE OF CERTIFICATF.:-��, jf l� �, DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR ti CITY OF SALEM, MASSACHUSETTS e BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#386-06 DATE ISSUED: 7/7/2006 Property Located at: 343 Essex Street UNIT# Back Owner/Agent: Kathey Streacker Address: 8 Curtis Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-4767 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. F FOR THE BOARD OF HEALTH J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT' Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 4010.00" �jJ�J "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION,"_.[ J/�J // Tf PROPERTY LOCATED AT 3`�3 �' l UNIT#.-- IS THIS UNIT DESIGNATED AS RIGHT LEFT ERQ4AG LEASE CIRCLE ONE OWNER/LESSER1 +�N/� C�r1 h MANAGER/ GENT No P.O. Box No P.O.Box j ADDRESS ADDRESSS Sf CITY CITY SGz i�'dYI ©1Jf RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 7T 7"Lf 7/O -;? BUSINESS PHONE r7 TOTAL NUMBER OF ROOMS: I //�� /� ROOM USE: 1. V I0- ._� .-2Z _3. 1//��✓ 1K- 4._ —.1,V tZO 5. 44-. 6- 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. -� �l1 J APPLICANTS SIGNATURE _ ? ` "� —._—DATE / //d4o INSP�GTORS USE ONLY DATE OF INITIAL INSPECTION 7�7 DATE OF REINSPECTION DATE OF ISSUANCE OF CE/RTIIFICATE:7, !— DATE FEE PAID'_- 6_ TYPE OF UNIT: DWELLINGa/ OTHER_.-_ CHECK #,_I 5,3_/ CHECK DATF�i NOTES: CODE ENFORCEMENT INSPECTOR 9128/98 I _ 0 "' .;b .+ffix.s - , ,.,,fin,.+ ..1.,.,,a"` _ p: 'x.�` rr�°b1t d.>�'t:�a •�;. -�:.L`.°.as-� ,�, a _� CERT.# 455-98 3+ FEE $25.00 DATE: 07/24/98 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: 350 Essex Street Ra2r UNIT #: 1 O'KNER/AGENT: Georae Osaood ADDRESS: 100 Nauaus Avenue CIT'i/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 MAYNOWBE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE S.',NITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . S'ECTION 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'-,ANNE SCOTT, MPH,RS,CHO FEALTH 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 UNIT# IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �� © F� MANAGER/AGENT ADDRESS /" /Ul4ueg-LL 1 14� ADDRESS /Q CITY .. F/V CITY /�<f��/ 5. 5 RESIDENCE PHONE / BUSINESS PHONE (24 HRS.) BUSINESS PHONE �Tl�' 1p 3 qO TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3.-X 4. ,1- 5. 6_ 7_8. THERE IS A TWENTY-FIVE($25. 0 AR FEE, P BLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEA H DEP TT FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORSONLY DATE OF INITIAL INSPECTION 7'AVIFS DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 7/.2/98 DATE FEE PAID. 71 y/9B TYPE OF UNIT: DWELLING OTHER-4L/- NOTES THER—NOTES ,�orOcr_SS OF rixiH� /yOl//S iH rrnr// bccJrcol. wY.AcC IC,`�cheEb ' /� -cf,yoGN7/ CW`2 CY kGke.>Q o .tQ sW.ff- �G+ Scmn YtOu.n?�F'. CODE ENFORCEMENT INSPECTOR 5/19/98 .�o CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH r 3j 120 WASHINGTON STREET, 4TH FLOOR . � SALEM, MA 07970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 16, 2003 George Osgood 99-100 Naugus Avenue Marblehead, MA 01945 PROPERTY LOCATED 350 R Essex Street Unit#2 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. �� Y Y —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 t�of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector V� r' �y CERT.# 241-98 3 ^. FEE $25.00 DATE: 04/29/98 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: 350R Essex Street UNIT #: 2 OWNER/AGENT: Georae Osaood ADDRESS: 100 Nauaus Avenue CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 la�4 U 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 11, 105 CMR 410.000 "MINIM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT I OWNER/LESSER MANAGER/AGE.NT ADDRESS ADDRESS CITY 114 CITY --RESIDENCE PHONE7�5 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. e3c-,.V 2- yj vY 3. 4 . leo S. 6. 7. 8. 25. Do PAYABLE THERE IS A, TWENTY—FIVE (,R?,.YBLE BY CHECK OR MONEY ORDER TO THE "L CITY OF SALEM HEALTH DEP HT I FE S PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGN-kTURE DATE IlNspEcroRs USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATF L DATE FEE PAID: TYPE OF UNIT: DWELLING OTUER NOTES : CODE ENFORCEMENT INSPECTOR V CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH §. 120 WASHINGTON STREET, 4TH FLOOR r a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/15/05 350 Realty Trust/George Osgood 89-100 Naugus Avenue Marblehead, MA 01945 PROPERTY LOCATED AT 350 Essex Street Unit 9 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. r the Board of Heal h Reply to i Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector e gONU1T Sr ° CERT.# 207-99 _ FEE $25.00 7 `- DATE: 04/30/99 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: 350 Essex Street UNIT #: 10 OWNER/AGENT: Georae Osaood ADDRESS: 100 Nauaus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 / i4� M O JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f - Cnwnr q a 6 �9 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 -?A-O f✓-s,re UNIT#16� IS THIS UNIT DESIGNATED AS RIGHT LE�FF1lT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Gc� 0,f 6._/ MANAGER/AGENT No P.O. Box / / No P.O. Box ADDRESS �p ADDRESS" CITY/� v — CITY �" �4SJ RESIDENCE PHONE .� BUSINESS PHONE 2 BUSINESS PHONE 70 TOTAL NUMBER OF ROOMS: L i<�!-r✓ `,� `7J� ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.0 LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALWHIE TH DEP ENT T S FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE ./ _DATE INSPECTORS USE LY DATE OF INITIAL INSPECTION 'jD ! DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -3 a �f DATE FEE PAID TYPE OF UNIT: DWELLING OTHER_ CHECK # 6 6 3 � CHECK DATE 4jr-?6 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 s s vQ'f.�tIND1T CERT.# 440-99 .£ FEE $25.00 DATE: 08/11/99 ��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: 350 Essex Street UNIT #: 11 OWNER/AGENT: George Osgood ADDRESS: 100 Nauaus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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) : DWELLIIQG 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 OANNE SCOTT, MPH,RS,CHO 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 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 HUMAN HABITATION". PROPERTY LOCATED AT UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �' �/D � MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ` ADDRESS CITY /� /(�G�l v CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS3 BUSINESS PHONE ,�� TOTAL NUMBER OF ROOMS- ROOM USE: 1. 2. 1 4. 5. 6. 7 8, THERE IS A TWENTY-FIVE($25.00) DO R FEE, PAYABLE BY CHECK OR MONEY ! ORDER TO THE CITY OF SALEM LTH DEPART NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE i v INSPECTORS U ONLY v DATE OF INITIAL INSPECTION S! �// 4 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:R �/ I �4. Y DATE FEE PAID: TYPE OF UNIT: DWELLINGfi?OTHER_ CHECK# Co R 3 lo CHECK DATE �� Y I NOTES: I CODE ENFORCEMENT INSPECTOR 9/28198 CONUIT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 08/05/99 Tel:(978)741-1800 George Osgood Fax:(978)740-9705 100 Naugus Avenue Marblehead, MA 01945 PROPERTY LOCATED AT 350 Essex Street UNIT # 11 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. Pq THE BOARD OF HEALTH REPLY TO ?anne Scot , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR w CERT.# 578-96 ° G FEE $25.00 ��'. . �•F� DATE: 08/22/96 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: 350 Essex Street UNIT #: 11 OWNER/AGENT: Georae Osaood ADDRESS: 100 Nauaus Avenue CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 qv-plxl-c- ✓ - Q d Z� Of?ANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 9l0 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 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". NIT PROPERTY LOCATED AT ) C c i_T7 - ---- OWNER/LESSER -;�n � � MANAGER/AGENT ADDRESS /0-r) Y�/d,,- i / ADDRESS CITY CITY 'RESIDENCE PHONE (-V�l �� / ^�� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Z {� s ROOM USE: 1. 2. 3. 4 . 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25. LLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEP THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE `� V INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: y L 5 . DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Y Z %r DATE FEE PAID: q TYPE OF UNIT: DWELLING- OTHER NOTES: CODE ENFORCEMENT INSPECTOR 4 A CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 08/12/96 Fax:(508)740-9705 350 Realty Trust, George Osgood, Trustee 100 Naugus Avenue Marblehead, MA 01945 PROPERTY LOCATED AT 350 Essex Street UNIT # 11 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 HEA,LT�H_� REPLY TO lJoanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR coNDI ,5c CERT.# 536-00 • ,��, FEE $25.00 7>j• M.. DATE: 08/23/2000 �9 gC/,hpVE 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: 350 Essex Street UNIT #: 12 OWNER/AGENT: Georqe Osqood ADDRESS: 100 Nauqus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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. /F9' R THE BOARD O JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �ONDIT „t 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 NITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF F R HUMAN HABITATION". PROPERTY LOCATED AT 2 l�l� UNIT#-!�t IS THIS UNIT DESIGNATED AS RIGHT FT FRONT BACK PLEASE CIRCLE ONE 1 OWNER/LESSER� _ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /,^ "fl� �Ublv(i�' ADDRESS CITY-¢//Pa v``//oA CITY ..v RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE e TOTAL NUMBER OF ROOMS: ' "Ori ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. a� THERE IS A TWENTY-FIVE($25.00 OLLAR EE, P LE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EALT EPA M THIS FEE IS PAY EAT THE TIME OF INSPECTION. APPLICANTS SIGNATURE / I SPECTORS U JNLY DATE OF INITIAL INSPECTION IF-�3 -aDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -O-aDATE FEE PAID: 3 �0 0 TYPE OF UNIT: DWELLING OTHER_ CHECK#7 V `/ CHECK DATE S�•a 3 ��' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 it �.. i `` ��. f sSc`� cS �� l�- .: .a ., _. _ . _ _ - ., . � - , _ � -- r i CERT.# 105-98 _ ter• FEE $25.00 3 X11 ,fta DATE: 02/23/98 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 Fax (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 350 Essex Street UNIT #: 14 OWNER/AGENT: Georae Osaood ADDRESS: 89 Nauaus Avenue CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 JO/ANNE SCOTT,, MIPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR t w 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 11, 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UHLT I VZV OWNER/LESSER MANAGER/AGENT* ADDRESS 9ir-11 os 4,,-4 ADDRESS CITY CITY --RESIDENCE PROVE. BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 5— 6. 7. 8. THERE IS A TWENTY-FIVE (25. Do FEE, ABLE By c CK OR MONEY ORDER TO THE CITY OF SALEM'HEALTH DEP S FEE S P LE OF INSPECTION 'RE' YABI" C C' FFIA P APPLICANTS SIGNATURE A DATE,, _ INSPECTO S U E ONLY rE DATE OF INITIAL INSPECTION: DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR Ire 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: 02/03/98 Fax:(978)740-9705 George Osgood 100 Naugus Avenue Marblehead, MA 01945 PROPERTY LOCATED AT 350 Essex Street UNIT # 14 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 qvl "�a � Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR t E vg�COND(T�i CERT.# 206-99 s FEE $25.00 DATE: 04/30/99 s �c/M�ryg fA 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: 350 Essex Street UNIT #: 18 OWNER/AGENT: George Osgood ADDRESS: 100 Naucrus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 fa_d� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • �ONDIT 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 Tee(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 UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER GCO CS� ANAGER/AGENT No P.O. Box o P.O. Box ADDRESS A00-9// DRESS CITY�f/CITY RESIDENCE PHONE BUSINESS PHONE (2 BUSINESS PHONE 7 61 '�C � ��[) (� TOTAL NUMBER OF ROOMS: / /Y ��`'� SO,L�N- V\ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) Dg7 ' E BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HETEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _ ATE INSPE V DATE OF INITIAL INSPECTION 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE L( ' �j tDATE FEE PAID TYPE OF UNIT DWELLING XOTHER CHECK# ( i� 3 CHECK DATES�3 o � NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 vg�CoNIDrT,kO' IL CERT.# 538-00 FEE $25.00 DATE: 08/23/2000 ��9gO/�nNe tA� 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: 352 Essex Street UNIT #: 1 OWNER/AGENT: Georqe Osqood ADDRESS: 100 Nauqus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 632-9088 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 . q R THE BOARD OF XV-1f,-z,e, -t/a JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i fA 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 HUMA ITATTIIOO -'.- PROPERTY LOCATED AT _ - �` " �i� UNIT#-L IS THIS UNIT DESIGNATED AS RIGHTO AC PLEASE CIRCLE ONE OWNER/LESSER� r MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS�ifa �J} GJ(yt 6 �1 ADDRESS j� CITY X- CITY - w RESIDENCE PHONE BUSINESS PHONE(24 HRS.) BUSINESS PHONE �J Q TOTAL NUMBER OF ROOMS: f{Pr✓ C�(�T ROOM USE: 1._ 2. R 4. 5._ 6. THERE lS A TWENTY-FIVE($25.00 OLLA EE,P LE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EALT EPA M THIS FEE IS PAY E AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE r I PECTORS U � NLY DATE OF INITIAL INSPECTION '� �3 vo DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE� '2 3 �a DATE FEE PAID2 'Ji,- 3 -6 d TYPE OF UNIT: DWELLING rOTHER_ CHECK#,?YfV CHECK DATE. '3 3` `_b NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 t r• �ONUIT CERT.# 537-00 9 � ss� FEE $25.00 DATE: 08/23/2000 c� 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: 352 Essex Street UNIT #: 5 OWNER/AGENT: George Osgood ADDRESS: 100 Nauqus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 p JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR sros ��'onnue> 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 Tei:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA ABITATION". PROPERTY LOCATED AT t 2 -UNIT# IS THIS UNIT DESIGNATED ASIR GHT LE RONT BACK PLEASE CIRCLE ONE OWNER/LESSER( f MANAGER/AGENT No P.O. Box No P.O.Box ADDRES;S1'lift ��,fl'�iU lr� �/ ADDRESSS .� CITY / ft� CITY `� RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE J Q TOTAL NUMBER OF ROOMS: ' .N- <VD r� t ROOM USE: 1. 2. 3. 4. 8. THERE IS A TWENTY-FIVE($25.00 OLLAR EE,P LE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EALT EPA M THIS FEE IS PAY E AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _ �Q INSPECTORS U DATE OF INITIAL INSPECTION S3'� 3 - DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:S'd 3 '0 J DATE FEE PAID: T TYPE OF UNIT: DWELLING OTHER_ CHECK#-7-Y fY_CHECK DATE)'' NOTES: CODE ENFORCEMENT INSPECTOR 9/28198 CERT.# 86-97 "f' 3 FEE $25 .00 1} lF= DATE: 02/13/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel (508)741-1800 Fax (508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 352 Essex Street UNIT # : 5A O➢.TIER/AGENT: Georae Osaood ADDRESS: 100 Nauaus Avenue CITY/TOWN: Marbleher_d. MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 i 0 CITY OF SALEM BOARD OF HEALTH Salem, Massachuseits 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER 11, 105 CKR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". i 6,ry PROPERTY LOCATED AT .5 � � /n Yil UNIT OWNER/LESSER ,y 3u•it- �r MANACER/AGENT ADDRESSf f) ��///�� ADDRESS CITY I ! li�y - CITY RESIDENCE PHONE /:� .—�d / -�(J BUSINESS PHONE (24 HRS.) BUSINESS PHONE -— TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 4 . 5. 6. 7. 8, THERE IS A TWENTY-FIVt25. DO FONLY CK OR HONEY ORDER TO THE CITY OF SALEH HEALTH THIS FE Titer OF INSPECTION APPLICANTS SIGNATURE INSPECIO DATE OF INITIAL INSPECTION: 2. / 3 - Gj 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFIICCATE: ;Z '/ � - ,�,7 DATE FEE PAID: 7 — / 3 TYPE OF UNIT: DWELLING I/ OTHER NOTES: CODE ENFORCEMENT INSPECTOR CERT.# 242-98 FEE $25.00 3 DATE: 04/29/98 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: 352 Essex Street UNIT #: 6 OWNER/AGENT: Georae Osaood ADDRESS: 100 Nauaus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 5 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR . u ok 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 ATC om_�� UNIT I ,6 OWNER/LESSER �^ MANAGER/AGENT ADDRESSL�ADDRESS CITY �/f!� /, /i !�// !/d �� CITY RESIDENCE PHONE ! BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 .�" 3. 4 . 5. 6. 7. 8_ THERE IS A TWENTY-FIVE (2 .00) LE PAYAB Y CHECK OR MONEY ORDER TO THE CITY OF SALEH HEALTH DEP TH. S PAY AT THE TIME OF IAS TION APPLICANTS SIGNATURE DATE fl 1p CrORS USE ONLY DATE OF INITIAL INSPECTION `C J�-� �(� DAAIE OF REINSPLCTION DATE OF ISSUANCE OF CERTIFICATE : -�l( (Z d DATE FEE PAID TYPE OF UNIT: DWELLING (/ OTHER NOTES : — CODE ENFORCEMENT INSPECTOR CERT.# 539-00 C g FEE $25.00 DATE: 08/23/2000 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: 352 Essex Street UNIT #: 8 OWNER/AGENT: Georqe Osqood ADDRESS: 100 Nauqus Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-9088 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 . F1iyOR THE BOARD O ' JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR v� 3gJ 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 Tei:(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 BITATION°. PROPERTY LOCATED AT--�'�U i� r-T UNIT#-F IS THIS UNIT DESIGNATED AS RIGHT LEFTII` BACK PLEASE CIRCLE ONE OWNER/LESSER(' r MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS�i� `" _iU�GJ(s� ADDRESSSS /� CITY CITY XIA5 RESIDENCE PHONE_ BUSINESS PHONE(24 NRS.) BUSINESS PHONE �J Q TOTAL NUMBER OF ROOMS: a R ?rte 6( ROOM USE: 1,_ 2. 3. 4 8. i�. THERE IS A TWENTY-FIVE($25.00 ?AP Y CHECK OR MONEY ORDER TO THE CITY OF SALE S FEE IS PAY E AT THE TIME OF INSPECTION. ) APPLICANTS SIGNATURE I PEDATE OF INITIAL INSPECTION SYSEINSPECTION DATE OF ISSUANCE OF CERTIFICATEX -?g i# DATE FEE PAID:} '3 S �-p a TYPE OF UNIT: DWELLING OOTHER__ CHECK# ;?V f y- CHECK DATE?- S 'a' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 L a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 02/05/2001 Fax:(978)740-9705 George & Melissa MacDonald 356 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 356 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 HEALTH REPLY TO oanne c MPHR ,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a BOARO OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT March 31, 2003 Ann Bash 357 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 357 Essex Street Unit#2 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For he Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR 3) SALEM, MA 01970 CERT.# 153-03 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 04/10/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 357 Essex Street UNIT #: 2 Left OWNER/AGENT: Ann Bash ADDRESS: 357 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-0947 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 NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR l CITY OF SALEM, MASSACHUSETTS _v .� BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR s � SALEM, MA 01970 li 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 .�5 ys:i v�' . �� UNIT#Awe IS THIS UNIT DESIGNATED ASS BIGHTL EFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box r No P.O. Box ADDRESS Is. /SS /_=-74I.- ) ADDRESS CITYJ,i/E%�q CITY 1 / RESIDENCE PHONE /� -O�?/4/7'BUSINESS PHONE (24 HRS.) M"" BUSINESS PHONE An rnD , TOTAL NUMBER OF ROOMS: J� ROOM USE: 1L,*,I;w le" 2. i 3 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 FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE �//4 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION LF/ C' -U 3 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE`F7EE PAID:=/0 - a S TYPE OF UNIT: DWELLING ,,eTHER_ CHECK# 3 3 X 6 CHECK DATE C71 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 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 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 Gity 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 shat said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. TEId6iN"/LESSE. -67.1-NE_ LES( R _ — ----- L ADDRESS ADDR_SSJS -S T v� *INPECTED//� n'ADDRESS OF UNIT TO BE. !17/ DATE / �vg��ONDIT�, 7 ' c ��7MINE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 03/13/2000 Tel (978) 741-1800 Fax (978) 740-9705 Timothy & Alice Clarke 361 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 361 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 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 OF 7, REPLY TO Y ' Joanne Scott, MPH,RO PABLO VALDEZ i HEALTH AGENT = - - CODE ENFORCEMENT INSPECTOR I �. �oxnir {yr CERT.# 171-99 1 tg FEE $25.00 a ' o DATE: 04/12/99 ��7MINE�� 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: 362 Essex Street UNIT #: B OWNER/AGENT: John Hattersley ADDRESS: 362 Essex Street #A CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-8941 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 MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR J . p �v��CONDlT 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 36.7- ✓;55F_X- 5T-45el UNIT# 13 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER JAY/V llknr _,SLE% MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 36Z ESSEX 5'Ire-CET ADDRESS CITY CITY MA RESIDENCE PHONE P319-40 894 BUSINESS PHONE (24 HRS.) BUSINESS PHONE A-6 A&V✓E TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. 2. Z--- 3. P5 4. 5. �� 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE /Z INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I '1'�'�1 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �/ 'J 2 `/ `✓ DATE FEE PAID: �/ Z '9 Y TYPE OF UNIT. DWELLING OTHER CHECK# /70 Q CHECK DATE 4 - NOTES: -NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 f g!<�ONOIT CERT.# 460-99 v FEE $25.00 91 DATE: 08/18/99 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: 364 Essex Street UNIT #: 2 OWNER/AGENT: Edward Mello ADDRESS: 6 Walsh Avenue CITY/TOWN: Peabodv, MA ZIP CODE: 01960 24 HOUR PHONE: 531-9152 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 41`0.400 (B) : DWELLING UNIT (X)- AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: _ NOTE: THIS APPROVAL D6ES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FO R OCCUPAN -UNDER 6 YEARS OF BGE. FOR MORE INFORMATION CALL 978-741-18[@ FOR THE BOARD OFF HEALTH q0=_XSc(0__ O 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATUNIT#_oZ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BA PLEASE CIRCLE ONE OWNERJLESSER< fils�s..�� /0// g MANAGER/AGENT No P.O. Box a6 No P.O. Box � p ADDRESS ADDRESS-., �,�/i1� t/fid CITY _1/. CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS- p ROOM USE: 1. 3. 174. 4 5. 6. 7. 9. 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,%<'Z� .fl� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION-5_ ,T_- _ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIIFICATE: �'/ -DATE FEE PAID: S`i 't S_ TYPE OF UNIT: DWELLING�/.OTHER_ CHECK#�3L-` ..CHECK DATE ` NOTES: l CODE ENFORCEMENT INSPECTOR 9/28/98 t"D104 City of Salem, Massachusetts I'��y1^(�/' w LJ q Board of Health 120 Washington Street, 4th Floor, Salem, P.�UPub11cH Protect 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-15-274 DATE ISSUED: 9/3/2015 Property Located at: 377 ESSEX STREET UNIT#A Owner/Agent: Maureen McCarthy Address: 62 Mannion Way City/Town: Rockport, MA Zip Code: 01966 24 Hour Phone:(978) 394-2005 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,—�� /,/,V� ., Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SA ARIAN y CITY OF SALEM, MASSACHUSETI'S • BOARD OV 1-1FiA1:11-1 120 WAHINGCON STRIIImT,4".F1,001t '1`i;t,. (978)741-1800 KIM13ERLEY DRISC01.1, FAx(978)745-0343 MAYOR INMIN &ALB COM 1 ARRY RAMI)IN,R3/RF.1•IS,CV10,t:1)-FS F-fIA1.77T 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 TS S� ' " �`► ' ' �`1 UNTI'#-A— IS THIS UNIT DLSIGN`A,T,EpD AS RIGHT LEFT k1tON i OR BACK PLEASE CIRCLE ONE OWNER/LESSER Ol� +�S�P�K� ' '►lt�~ MANAGER/AGENT NO P.O.BOR ADDRESS a ADDRESS rr� V.-,C\ \ j4k CITY,STATE,ZIP \C �1C� � rITY,STATE,ZIP 0M V RESIDENCE PHONE Zp BUSINESS PHONE(24HRS) BUSINESS PHONE \ '3 1 l 2 tl� TOTAL NUMBEROFROOMS: cL ROOM USE: 1. Y��K��i 6. 7. �j 8. �1 4. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY Of SALEM BOARD OF HEALTH THIS FEE ISP YABLt� E AT THE TIME OF INSPECTION t APPLICANT'S SIGNATURE `-�— HATE Insvectors use only Date on initial inspection: 09/0217nIS- Date of reinspection: Date of issuance of certificate: 00)/0)/2 02S" Date fee paid:0 710 a/Ln1S" Type of unit: Dwelling ✓ Other Check# 1J_L y Check date:�Q�/2nZS Notes: SC �,4atA C ment Ins for Inspection of Date ° © � �Jiime^ �1O�nO^�C'%�s IAddress l / fESS Nam-_ Ownermaj-'O � d4i MGIrnrFTel, No. 7 O-3gq-LrJ - � I Type of Inspection P �'; /'/LZ`P pi' Y i+neSS - Inspector ��Cy ( ' ) Remarks jand ,Violations are listed below: _- !rt.✓Yir-�mCY1� r tY1 enerw� , r I nMB^ M G ° rMIA�I.P. svte. n �� :=riYT�n�rt ��'r� in e SGP"eei?q$.tb,l^.l�� f�-- '+- r I or n�11u�"FwrP.v1-� � �OP-M- ww ;Jnw t4E -4-o �.4.�1�1ypl�0.S 4t Y1ZL41/(L !}1^�t❑ 1—i^+n4�:� LI �j o riiP`Pl(. Cn St'a.S,�X✓ieW_Sjr�ip n��•r� ' ° ._h � A- &M�ok.w 4P-V% f11 / bf' Pn h L�YI�'htnCP F �WiPM'#' c V or n � e s gk--"e. _+ k ±C& 0-5 in njsy w; �, a. 4L T Pane me-els4n �� I � o f� 1 �1aS intba< ♦ ill a7 TAnjin In fi i'e renor M1jC+ 6e- /!J j Je'4', , n Report Received by: J OONDt ` City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHea Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-273 DATE ISSUED: 9/3/2015 Property Located at: 377 ESSEX STREET UNIT#B Owner/Agent: Maureen McCarthy Address: 62 Marmion Way City/Town: Rockport, MA Zip Code: 01966 24 Hour Phone:(978) 394-2005 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT / SANIT IAN i C,I'I'Y OF SALEM, MASSAC IUSE'I°TS BOARD 01;HEALTH 120 WASHINGTON STREET 4' F''1,001t 1`h,L. (978)741-1800 KIMB RLEY DRISCOU FAX(978)745-0343 MAYOR h�il)IN(AQ;.11 IiN1. ' 1M i,AJtRI'ItrlhtDliV,RCf RF:}1S,CIIt),O:l'-}'S Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT l ES SL& y� S `� � `► ' ' 4„1 UNIT# ( ktIS THUS UNIT DLSIGNAT,EpD`AS RiGflT"I"FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER i Y \ -jJ-#-444 Y`t\._(0-10'- MANAGERI AGENT NO P.O.BOX �} ADDRESS t1* ADDRESS Vk4Xry�'y Vx-\, i (A�\f �f CITY,STATE,ZIP \�.mx- CITY, STATE,ZIP RESIDENCE PHONE 2 "R � . BUSINESS PHONE(24HRS) BUSINESS PHONE \ { ,, .1V r � �} TOTAL NUMBER OF ROOMS: \t✓ }��, � T 7"`"t'j'\?. ROOM USE: I.l� L `Bn2. /�lY\�3. Vk.VA" '(1�4. 9 C`� ",5. 6 rlo>" �f b11h 7, 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PQRYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE C � DATE .� Inspectors use only Date on initial inspection: og10 2J2b1 r Date of reinspection: Date of issuance of certificate: DV011202�- Date fee paid:0g/6.212OY-7- Type of unit: Dwelling—�Other Check#1 '-LY Check date:_Q Notes: .Seea++akrkeA) Cod went Ins for r Inspection of--" n jq&r+rvl P.n+ Date 0gZ02Z24LSTime 10,4000-.n Name .f + Address3 / / FSsfKS' reef /P+, tR.n.�i �A /� /1 T�—'- OwnerM 2JrP°'Ili Mr- ri-r4-k /� �+ Tel. No. -978-3q4 2t�ss Type of Inspection ( e_r�i rn./"}'0 O- F'I'�nP CSC _ Inspector 1121fCA&V Barn-ly ( ' IRemarks and Violations are listed below:: r — fnr n I I 4-L rte- rt, r4rn4i&1 T'S I Yl eryeY'a.l . ' Mr' 1 a-1Cv. Svre. n �� tniin�nl sf wi� wi�cs�,g. Se✓�e ya$�r�y�j Scr�enr and.i'ov^ S+nrin �anp�. ` Mo-ke cure All winde5w� JS�en�Ow.110I nr✓� le- For e- ler !YA.r4mpA4 A ° Inl n Y`cC]oY-q W�n�w �nr��eRr � 7�r. PiohtiL �aS a. NCaV� i-r1�in�' S�4h 'l�a+ ialJs .f"-fjv Al's ne I �`o� 4� reWW-S vp .rinr,✓n Sa4l PaAro�_�In�nnt�eor^ ✓rear ��a,rs Inas a. s ;4k ,. ,A crack r'n Flz acre e h�+ le_aJ[ina nee _�o �e V a;.ra� �o ��0p ileo-k"F_ e e • mu;,,in Ad, A� 146s+ 4u, win w OCLMP7�— I C P&ng r� d.II o n or/r�e-e l l ` J1�-rbc nel E. eom n h1 1 St/ }� k,tr�Eh . �a3 a wi 4y w; ¢(1 A- 3 Mai I C-r!O I n�`1e_ 7 ».— le-A cn rner c) I LI Int WIAJIDW lea d,T-l4 S bane In eels finIF _ Jt'I + e o- an ax4mw± p&S S' it m s (,+;/D4 . /'C I` V.iOL&;O ws no+e11 in + i y re orl lMuc+ k2 CorrP_e.+'P� l , Report Received by- City of Salem, Massachusetts lu Board of Health 120 Washington Street, 4th Floor, Salem, PHth MA01970 Prevent. el Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-15-272 DATE ISSUED: 9/3/2015 Property Located at: 377 ESSEX STREET UNIT#C Owner/Agent: Maureen McCarthy Address: 62 Marmion Way City/Town: Rockport, MA Zip Code: 01966 24 Hour Phone:(978) 394-2005 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,--A4� Larry Ramdin, MPH, REHS, CHO / �/ HEALTH AGENT �/ SANI ARIAN CITY OF SALEM, MASSACHUSETTS I s I BOARD OF HEALTH 120 WAST-UNGTON STRrET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1.xAMOINGSN UM.rOM LARRY RANIDIN,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 PROPERTY LOCATED AT ES SON% �j 5� - 0�vty)�,1 VYNG UNIT#� \ /IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER V \PL �P�Y1L� fF Y��yMANAGER/`,A�GnENT ADDRESS a ` Q ADDRESS '• 1-&`f fv\� CITY, STATE,ZIP ��1L` c CITY, STATE,ZIP RESIDENCE PHONED �Q"p� . BUSINESS PHONE(24HRS) BUSINESS PHONE TOTALB RROOFR OO�vIS: (3 l 2 ROOM USE: 1. . T4 3.'R.n.��U�5fa` 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 ISP YABLE AT THE TIME OF INSPECTION ` APPLICANT'S SIGNATURE -_ - l ., `- DATE Insoectors use only Date on initial inspection: 0g1D2/2n1r Date of reinspection: Date of issuance of certificate:01/02/2/)1;- Date fee paid: 09/02/2015" Type of/unit: Dwelling V� Other Check# Irl U Check date: 09/0.-120,7- Notes:I sp e a 44&�l?A !/v nXce fie .� C�c�nf�cement Spector I Intpectiolli,of OU9 C4l�AO a 4 Date !� ��,,..,�� ''�l/(��(��time [QOo-yn Name �A 1 Address 7 7 ESsex S [ ) Owner Ma.LreCn I'lG +Yl�� /� �+ _ _ - - Tel. No. "1 / 8-3g9—L(- 5; TypeofInspection l _,,,},f,,Cii. , p�F F'Lfilf.cC Inspector �amSy ( ' ) Remarks and Violations are listed below: Fnr n II -I-Lret l4me'ri S to enera.l . Svre_ W rArMialrig ccreeh6 a-ro_aive Sere-ens a.jaloNSforrrtO0.nP , ` / Tole ci,rP. all windnws< rl,-Sraned, +o✓hF cFJeno-d, rwv. Ie, FOre • �infft r�towt 44,fs p winr.�nw1/�a�k�u� -�-/o Y'PPIV n �f +O Q {�7 qa rQQ. S Y✓IOW.f [I� n Sa4d f ` AA flo wFs On '7" J nr near �'aJrrs /l as ci S )n k w i t .c a- crat o +L+ i 1e J("PI n P n e-eJ s in be. rep,;reJ 4o c lo lea�e. ` C e � D�ar'fsmP.n-F- B o II o • 1 iyjno rAI_ w;nd,, : ..r4h,,4 47n 4Le, )e,+"+ jar o- broken win w OX&" �✓ e he-.0-Asano +6Le, r re� /nrP.J., ` ReIrn vnupsbi`rc rneec>� t�, ave /pk l C, Lan MonoK;J dzfL r w in +P_v, (1O)'P.eto� ear,� 2rt+rtaACv - F ° nom Oh 1(i+c/1En . ha�mui wA a,- 3ma ] r"-rack In��te 1� 1}�/nrncr 0 j�� no w ` w toas�e�44'.9 bane ,n ells $, k.4 re .d o r rP n to cen ' W +�re?p,r+n,vA± pass j n r +inn----- /'CII bCt�olnrF�n vet hol I,;1 A i g ee or� M"C+ kC CorrP.r.+2� e 1 ' r anr-�arrrnn Report Received by- +`t- �• �y6' fn CERT.0 17-57 ,1 3 " FEE $25.00 )%f`� DATE: 01/23/97 � 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 CERTIFICATE OF FTTNESS PROPERTY LOCATED AT: 384 Essex Street UNIT 4: 1 047NER'AGENT: Robert Barnard ADDRESS: 249 Green Street CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 745-0518 AN INSPECTION OF YOUR VACANT DWELL INC/ROOMING UNIT AT THE ABOVE: ADDPES3 HP-S 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 DEPART1AENT AND THE UNIT MAY NOW BE RENTED AND/CR 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 �1iP l CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT NINE (508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS. Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, SOS CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED ATc'� D �f iS1_�i�JCJ DN//IT # OWNER/LESSER lt F MANAGER/AGENT - 1 ADDRESS cf G 6zeeh . '6 ADDRESS CITY y / /� CITY `� n 'RESIDENCE PHONE ( ( /- .-)77 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1 . 2. > 3. ,� 4. 5. ��JJJJ 6. 7. g, THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEF. IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE ! 7 INSPECTORS USE ONLY G� DATE OF INITIAL INSPECTION: 4, —/7 J 7 DATE OF REINSPECTION /—,,,2 3 t DATE OF ISSUANCE OF CERTIFICATE:-4— 3-yyDATE FEE PAID: TYPE OF UNIT- DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR �---- � _ . � _ �� , ��.��r �� . . , , . .�, ,� �- -� , ,, ' CERT.# 113-01 R FEE $25.00 DATE: 02/28/2001 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: 384 Essex Street UNIT #: 2 OWNER/AGENT: Robert Barnard ADDRESS: 249 Green Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 745-0518 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 JCO JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i s emur p3 -01 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 .�07 �J�S' UNIT#c9- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE C� OWNER/LESSER ,Q - rG1``I MANAGER/AGEN No P.O. Box No P.O. Box ADDRESS C7 L ��d��s��/J/J ADDRESS L& f ��--- CITY r_9 � iLJvt z- RESIDENCE PHONE ) USINESS PHONE (24 HRS.) 2y✓=Q`}�� BUSINESS PHONE /�)) TOTAL NUMBER OF ROOMS: `7 ROOM USE: 5.___6. 7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM THIS FEE IS PAYABLE T THE TIME OF INSPECTION. APPLICANTS SIGNATURE1G2% DATE -- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 9_ -a-3 - l7 ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:`Z,-P K -D 7 DATE FEE PAID:, TYPE OF UNIT: DWELLING `THER.__ CHECK # CHECK DATE NOTES: /l� CODE ENFORCEMENT INSPECTOR 9/28/98 ss taP CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. r 9ER//LESSORT/L�SS .. AN -- ADDRESS ADDRESS Sf GAS cq-/ ARESS OF UNIT TO BE INSPECTED ri 1 ��uxnlr CITY OF SALEM, MASSACHUSETTS �v .� BOARD OF HEALTH '^ 120 WASHINGTON STREET, 4TH FLOOR CERT.# 151-02 a' SALEM, MA 01970 FEE $25.00 �' TEL 978-741-1800 'Pei,, DATE: 03/20/2002 FAX 978-745-0343 STANLEY USOVICZ, JR JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 384 Essex Street UNIT #: 3 OWNER/AGENT: Robert Barnard ADDRESS: 249 Green Street CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 745-0518 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. _r FOR THE BOARD OF HEALTH i�/DC7 C`C J C/JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � 3 ,-, ,- .F_ W.�.�... ._m..=, ot""r""`'�-:'�..�"�"¢:".y„s-r- �r�.,,.'s„--"µo.„°,'»",;, '4. :"?. •. .. . ♦ - S gi i '°..;i.R k.i CITY OF SALEM, MASSACHUSETTS° 2 '� BOARD OF HEALTH ' • 120 WASHINGTON STREET, 4TH FLOOR < • SALEM, MA 01970 ,yd, TEL. 978-741-1800 0D FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6 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 .9W;�SSPx !)NIT#13 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEAS CIRCLE ONE OWNER/LESSER f�A6.r k/l2lrfj� MANAGER/A_GENT ° ivlf_�iS No P.O. Box No P.O.Box ADDRESS %� �I J (o C-e en ADDRESS CITY CITY RESIDENCE PHONE-/a 7BUSINESS PHONE (24 HRS.) BUSINESS PHONF_ TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2 t wLt �_I t)6 tt� 4. 5. 121 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 'Q` DATE_s Tup INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I L DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:? ;>e—p L DATE FEE PAID: Z TYPE OF UNIT: DWELLING k OTHER_ CHECK# / 3 d' CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ' CITY OF SALEM, MASSACHUSETTS a ; BOARD HEALTH 120WASHINGTON S STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#305-07 DATE ISSUED: 7/11/2007 Property Located at: 384 Essex Street UNIT#4 Owner/Agent: Robert Barnard Address: 249 Green Street City/Town: Marblehead, MA Zip Code: 01945 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 5 / 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 30 S< ,F(nd' F ST• UNIT #Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER P��% (64dMANAGER/AGENT No P.O. Box v7 p No P.O. Box ADDRESS �•��ELCN �T• ADDRESS CITY !GS//��p��2G/�i9� _CITY 1*79/4 6/5�'eS RESIDENCE PHONE/r7/ W',317?,7AUSINESS PHONE (24 HRS.) __ BUSINESS PHONE TOTAL NUMBER OF ROOMS. ROOM USE: 5_6.__7 8 THERE IS A TWENTY-FIVE (S25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _7r/07 INSPECTOR. USF ONI Y DATE OF INITIAL INSPECTION ��'� 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 3�/�-"O.7_DATE FEE PAID TYPE OF UNIT DWELLIN�OTHER___ CHECK #-- X/1_0_ _ _CHECK DATE o� 7 /-5-3 / 2. 63 s� NOTES __- CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH s 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#337-07 DATE ISSUED: 7/24/2007 Property Located at: 384 Essex Street UNIT#5 Owner/Agent: Robert Barnard Address: 249 Green Street City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 781-631-7878 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 I-I�ALTH JOANN� MPH, IRS, CC[aHOO � HEALTH AGENT E ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS B OARD OF HEALTH .� 'L 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS. CHO Kimberiey Driscoli 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 �1� 7 �� UNIT #-jr IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE! OWNER/LESSER�I/ ��rd_ MANAGER/AGEN � �. No P.O. Box No P.O. Box ADDRESS (4 f�j /J ADDRESS Y CITY 1411 ,� CITY RESIDENCE PHONE �d /`fO�f/o �� BUSINESS PHONE (24 HRS.),_��/�`~d�� BUSINESS PHONE TOTAL NUMBER OF ROOMS:,�AaJ ROOM USE: 1. W 2--4W-3 AW 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE LTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _ /1!Z11A- _. -_-__DATE_�4j/ 7 INSPECTORS USF ONLY DATE OF INITIAL INSPECTION 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:FIS q z9?DATE FEE PAID:_' TYPE OF UNIT: DWELL& _OTHER _ CHFCK _ CHECK DATE NOTES �� -- ------- -- - - -- CODE ENFORCEMENT INSPECTOR 9128/98 CERT.# 144-98 FEE $25.00 DATE: 03/16/98 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: 384 Essex Street UNIT # : 7 OWNER/AGENT: Robert Barnard ADDRESS: 249 Green Street CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 745-0518 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 J' fJ JOANNE SCOTT MPH RS CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r f _ '_�• •>tFl^\Y:Q:Y s2? W:i> �.5..- 4'liF!�'•'}..� .TSC ::.1. Y - u.,> _ i f1..•.., t 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 �/J,,gJy�LjJ� P�C/ UT # : OWNER/LESSER F { / //�J� y� MANAGER/AGE. !/'D/r5�_ �� ADDRESS ADDRESS CITY CITY p t/ I I P� RESIDENCE PHONE BUSINESS PHONE (24 HRS.)& +�: ',j BUSINESS PHONE TOTAL NUMBER OF ROOMS: ' ROOM USE: 1. �j Uk 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 APPLICANTS SIGNATURE r G / DATE 5 — INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: ��T7 ��a DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �� DATE FEE PAID: TYPE OF UNIT: DWELLING X OTHER NOTES: CODE ENFORCEMENT INSPECTOR L r g�"co n � ��MIIV6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 0197C 02/20/2002 120 Washington Street JOANNE SCOTT, MPH, RS,CHO Tel: (978)741-1800 HEALTH AGENT Fax (978)745-0343 Three Eight Six Essex Realty Trust c/o David Clarke 27 Chestnut Street Marblehead, MA 01945 PROPERTY LOCATED AT 386 Essex Street UNIT # 3L 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 HPH,EAS.LTH REPLY TO c oanne Sco tt, MHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR v��e0NU1T ' n ,o CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 07/25/2001 Fax: (978)745-0343 Three Eight Six Essex Realty Trust, David Clarke, Trustee 27 Chestnut Street Marblehead, MA 01945 PROPERTY LOCATED AT 386 Essex Street UNIT # 3 Right 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. lR THE BOARD 0 HEALTH REPLY TO anne Scot , MPO PABLO VALDEZ ealthn Agent CODE ENFORCEMENT INSPECTOR 1LCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR . 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# 121-05 DATE ISSUED: 2/22/05 Property Located at: 388 Essex Street UNIT#2 Owner/Agent: Steven Sass Address 16 Ida Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 639-8381 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH t • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 1a 1 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 3� �SSEK L/TQEE� 11NIT#g- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �� y 'S MANAGER/AGENTIL/A476eiC- kA'V,5- No P.O. Box No P.O. Box 7 y ADDRESS Ila IDA 40AP ADDRESS D OO CITY / 4"'-C-HEAP q CITY RESIDENCE PHONE L 1 / _C X/ BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.Iu7_6k_� 2. 4. 5. 6, 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY / ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE J TIME OF INSPECTION. APPLICANTS SIGNATURE ✓�� `'� DATE 31/-1165 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION :�)- — /7 0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:'( a S DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER CHECK# 1 S$ J CHECK DATE -1— NOTES: NOTES: 5C-ue - t n ( ✓�� — /✓R ✓ � ti-w — CODE ENFORCEMENT INSPECTOR 9/28/98 L 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 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 Che City Of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description Occasioned by my/our absence during said inspection. O*WW1NE1R'/LE7S0 46 --f t - nDD��E� --- -------- AD REss 2- ADDRESS OF UNfT TO E INSPECTED D;TF City of Salem, Massachusetts Board of Health S-UP& 120 Washington Street, 4th Floor, Salem, PlubliCHeslth O Prevent. PrOmdc Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-210 DATE ISSUED: 7/14/2017 Property Located at: 388 ESSEX STREET UNIT#3 Owner/Agent: Steven Sass Address: 84 Grove Street City/Town: Auburndale, MA Zip Code: 02466 24 Hour Phone:(781) 608-1951 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. —' Larry Ramdin, MPH, REHS, CHO ✓ HEALTH AGENT SANITARIAN � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR L MAIM )a SALr.ALCOM LARRY RAMDIN,RS/RFI-I5,CHO,CY-IS 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 388 E sso y S cLk UNIT#� IS THIS UNIT DiSIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE p ��p pwAk As�2y71i[= OWNER/LESSER S�"e-r�W SASS MANAGER/AGENT 5CXnWAQ+Z -L AME&VA�vo ADDRESS 84 G zovt, ADDRESS P9, Fe�rlPRAI CITY, STATE,ZIPAvbuPVdAI(-,_MAo"q6crrY, STATE,ZIP(%Akt+Irl . MA 619clo RESIDENCE PHONES 81— - BUSINESS PHONE(24HRS) � -OQ 5 5 �R51 �- 5 5 BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 3. W C 4. IReAOmAa 6. 7. L J 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE;PAYABLE BY CHECK O EY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TH BLE A THE T O S E IO APPLICANT'S SIGN ATE Inspectors use onl Date on initial inspection: _I Date of reinspection:. ff ii Date of issuance of certificate: ll� I I� Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enforcement Inspector City of Salem, Massachusetts J 10 Board of Health 120 Washington Street, 4th Floor, Salem, Pu0 b]iCgCalth MA 01970 Prevent,Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-81 DATE ISSUED: 3/24/2017 Property Located at: 388 ESSEX STREET UNIT#4 Owner/Agent: Steven Sass Address: 84 Grove Street City/Town: Auburndale, MA Zip Code: 02466 24 Hour Phone:(781) 608-1951 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. nnD,P .P Larry , MPH, REHS, CHO HEALTHTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1.RA-Aff)1N(a.SA1.EM.00w LARRY RAI DIN,RS/RF_HS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" Q FEE: $50.00 PROPERTY LOCATED AT 3 S S ES. &7 f- UNIT#_� IS THIS UNIT DISIGNATED A RIGHT _PP-�EFT FRONT OR BACK,PLEASE CIRCLE ONE E-phquK A86u2R OWNER/LESSEpR�r�,YP_I� SASS MANAGER//7 AGE}N_TS,C�nydAfL --LA N/ICr �p ADDRESS �y l3 12�Y� � e.-4 ADDRESS g2PrzA1Q�+ �f}tt7t\ CITY,STATE,ZIP AUU A1c- k MA c)2-46(..CITY,STATE,ZIP CSA tM {AAA 01 'D RESIDENCE PHONE H O -7 451 BUSINESS PHONE(24HRS) 828-55 7 -0Z55 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 4 ROOM USE: LLivt A"Q 2.FOt�P_fL 3. K40K 42)erk2'DOIk 6. ( 7. 8. 9. 10. THERE IS A F LAR FEE,P YAB ECK OR MONEY ORDER TO THE CrrY OF SALEM BOARD OPIfEALT PAY P ION APPLIC DAT44�" 17` 2 �y Dect s use only Date on initial inspection: ;��3��7 ,I f Date of reinspection: Date of issuance of certificate: Date fee paid�y�7�)2%��' Type of unit: Dwelling—Other--Check# U2;q I Check date: Notes: 4EorcementInspector City of Salem, Massachusetts •_ ,. , 1, Board of Health 10 P 120 Washington Street, 4th Floor, Salem, P �PabliCmHeote alth MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-211 DATE ISSUED: 7/14/2017 Property Located at: 390 ESSEX STREET UNIT#1 Owner/Agent: Steven Sass Address: 84 Grove Street City/Town: Auburndale, MA Zip Code: 02466 24 Hour Phone:(781) 608-1951 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 l �t CITY OF SALEM, MASSACHUSETTS g BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 Kl\4BERL.EY DRISCOLL FAX(978)745-0343 MAYOR LRAnrmm0SAT P.M.COnr LARRY RAMDIN,RS/RENS,CHO,CP-FS I-IEALTFI AGFNT 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-390 YZ:c�V':WAX Com_f�. 5 UNIT# 1 IS THIS UNIT DISIGNATED AS RTCHT LEFT FRS ORiB�PLEASE CIRCLE ONE 11 E 1h2VM AS6 -MOWNERILESSERSC—% tXr MANAGER/,AGENTSCh�-Lkiilot�, A/ NO P.O.BOX ` t� ADDRESS 84 qaare 81 aADDRESS RA A E �e ,+ c7� CITY, STATE,ZIPA r�7hl,I.a2MdAIe,MA 02166 CITY, STATE,ZIP �Al�m . MA 019 qp RESIDENCE PHONE_t ��' (p08' 1951 BUSINESS PHONE(24HRS) BPB -565-o2.6,5 BUSINESS PHONE nn TOTAL NUMBER OF ROOMS: l ROOM USE: t.WC 2. 1Ci -Y ftf jSeAAOWA1 V, eC1 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEF..; PAYABLE BY CHECK.OR MONEX ORDER TO THE CITY OF SALEM BOARD OF HEALTH THI ABLE AT Tilt TIME APPLICANT'S SIGN 1l �y Ins_ tors use nn Date on initial inspection: « I I—I Date of reinspection: r Date of issuance of certificate: Date fee paid: I, Type of unit: Dwelling_Other Check# 1" J J� Check date: No Code Enforcement Inspector ti CITY OF SALEM, MASSACHUSETTS ` 1 ?� BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOII. FAX(978)745-0343 MAYOR LRAMninn_i SALF.M.mnt LARRY RAMDIN,RS/REI-IS,CHO,CP-IS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111;Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter H 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. f ��hRaAtil M�v�� $:--09 Tenant ss a wner/iUss 390 Esss;"XS 4-1 nM 2& Address Address Mo D 1q( ATL-'1 Address on unit to be inspected Date Updated S/23/11 17A7'.- CERT.# 382-00 99 FEE $25.00 DATE: 06/15/2000 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: 390 Essex Street UNIT #: 2 OWNER/AGENT: Steven Sass ADDRESS: 16 Ida Road CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 744-1906 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 will 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 39(0 E.55 Vc )( S 1 �'�2 UNIT# Z IS THIS UNIT DESIGNATED ASIR GHT LEFT FRON _ ACK LEASE CIRCLE ONE OWNER/LESSER S�Z�eY\ SAS!MANAGER/AGENT I?a.JI No P.O. Box C) e a No P.O. Box ADDRESS i Lo si1A�__aD ADDRESS 3010 CITY M 6,r-Wf kf/JL A M h OA4S CITY SG\-f vv\ Mc, ry 1q`` p1 p RESIDENCE PHONE(RIj) `?44—e(qq BUSINESS PHONE (24 HRS.)(76) Z Lkq- 0v0(0 BUSINESS PHONd781)1o�A' Z)?3 \ TOTAL NUMBER OF ROOMS: 3 ROOM USE: 2. k<i�A<M.&1.raxq. tom; 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. D APPLICANTS SIGNATURE 1 CJ.I,� Q DATE , loco INSPECTORS USE ONLY DATE OF INITIAL INSPECTION b a-9 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 6-/t>--" DATE FEE PAID: 6 " I �> v-0 TYPE OF UNIT: DWELLING" OTHER_ CHECK# DS I.3 CHECK DATEo� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 s � 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 withthe aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same andformy/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/aur absence during said inspection. TENANT/LESSEE OWNER/LESSOR 39 0 �SScac St a. 1 Co Z D A t� SDrL.LM N\OI d �g-lo ►�o3L1S ADDRESS ADDRESS 390 Csse'y S� Apra SRL_z_n ADDRESS OF UNIT TO BE INSPECTED To nc. .1 5 � zoo 0 DATE i CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH 3{ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 • TEL. 978-741-1800 Fax 978-745-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#58-08 DATE ISSUED: 2/7/2008 Property Located at: 390 Essex Street UNIT#3 Owner/Agent: Stephen Sass Address: 16 Ida Road • City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 508-527-4476 Mike Smith 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. �QR THE BOARDH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4ni FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISCU'I'fQN.HM.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." ,{F-EE: $75.00 PROPERTY LACATED AT 3 �0 SSP Y S]I UNIT#, IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER S tfJe✓\ Sc SS MANAGER/AGENT N ke SMI NO P.O.BOX 77 ,, ADDRESS /6 zwn �ed .rn 1� ADDRESS -3a8 M CITY,STATE,ZIP U ' l i A� fcJ/� I Af Of q of ' CITY,STATE,ZIP Scc le i i ' 117 01q 40 RESIDENCE PHONE 777-8/-G 37-8 3 8l BUSINESS PHONE(24HRS) T BUSINESS PHONE gl—�o08'l7Sl TOTAL NUMBER OF ROOMS: Z ROOM USE: 1. LK/ 2. 0 k 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTHEE I P YABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURF �' -3 DATE Inspectors use only Date on initial inspection: //10 ir Date of reinspection: Zy 7/ds' Date of issuance of certificate: Z19 /67- Date fee paid: /2,7 A I% Type of unit: Dwelling /Other Check# 3 9/ Check date: ///S� Notes: Code Enforcement Inspector I CITY OF SALEM, MASSACHUSETTS ` BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 HIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR iswrrrnaNAi F.NI.COM JOANNE SC0IT, 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. Tenant/Lessee Own /Lessor Address Address Address on unit to be inspected Date CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll ,JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#65-06 DATE ISSUED: 2/16/06 Property Located at: 390 Essex Street UNIT#3Front Owner/Agent: Stephen Sass Address: 16 Ida Road City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 978-741-7094 Marjorie 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 AI � ��✓/`� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J� • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 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 3TO G5556)(154—•• UNIT# .fig IS THIS UNIT DESIGNATED AS RIGHT LEF FRONT ACK PLEASE CIRCLE ONE OWNER/LESSER AWUJ MANAGER/AGENT WOTAC KAIr No P.O. Box No P.O. Box I ADDRESS Ila k 41W ADDRESS ZT0 eYLx —>,f 4f/F CITYA�i4CBCL' �O�� O/y�S,/ CITY ,y RESIDENCE PHONE I'1 ''MJHI - Fd / BUSINESS PHONE (24 HRS. ��qI --701V BUSINESS PHONE Ig ) II- �i TOTAL NUMBER OF 4.MS:RO 4e- ROOM 3 F� 104&w1 ROOM USE: 11-a�l�r M. 2. h��M 3. 1 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 INSPE TORS USE ONLY DATE OF INITIAL INSPECTION —/E t �' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:�? -1b -V 6 DATE FEE PAID: 3- -/G .y E TYPE OF UNIT: DWELLINGk/OTHER_ CHECK#�" _CH ECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor RELEASE In accordance with Massachusetts General Laws Chapter iii ; Code Of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Cliapter II and Article XIII of the Cit; of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized aAeats from any loss or injury sustained of whatever nature and description occasioned by my/our- absence during said inspection. _=.11,Y1 7 ''I ' OWNER/LESSOR 3a E-55&-,V ST,� Ai)DItESS --- ---- -- - - ADDRESS ADDRESS OF UNIT O BF.�SPECTED A, > CERT.# 576-00 _ FEE $25 .00 DATE: 09/06/2000 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: 390 Essex Street UNIT #: 4 Back OWNER/AGENT: Steven Sass ADDRESS: 16 Ida Road CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 639-6381 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. F R THE BOARD O� JOANNE SCOTT, MPH,RS,CHO ., HEALTH AGENT CODE ENFORCEMENT INSPECTOR �7MIN6� 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 3Cin '; ACriv c- . UNIT#_q IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT ACK LEASE CIRCLE ONE OWNER/LESSER Cass MANAGER/AGENT FSSey SjCefSF IZacLICAJ No P.O. Box No P.O. Box -TN.3r ADDRESS I(D T iSp J2.4 ADDRESS CITY t &-,, 6 la (n<_ari CITY mo, RESIDENCE PHONES BUSINESS PHONE (24 HRS.) BUSINESS PHONq - glto��{ A3`8 I TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. (� APPLICANTS SIGNATURE 'pe_ L 4 �pck9_f_SZ, DATE S-AT ' (M) ZOCTp INSPECTORS USE ONLY DATE OF INITIAL INSPECTION C—j. 'G' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:I— Co J DATE FEE PAID: 'I— L -0 -" TYPE OF UNIT: DWELLINGOTHER_ CHECK#®S 7 W CHECK DATE Cf -,f0 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS m11. BOARD OF HEALTH • m 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 • TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#57-08 DATE ISSUED: 2/7/2008 Property Located at: 390 Essex Street UNIT#5 Owner/Agent: Stephen Sass Address: 16 Ida Road • City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 508-527-4476 Mike Smith 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. FOT�RD OF HEALTH *CODE JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT FORCEME NSPECTOR • a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOOR TEL. (978)741-1800 KE%IBERLEY DRISCOLL FAX(978)745-0343 MAYOR iSCcn•rneAi T?Af.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" FEE: $75.00 PROPERTY LACATED AT 39 �S 0 5eX Sf UNIT# S IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE 1 ikeNOOWNER/LESSER STOCV� . Yk-S�S MANAGER/AGENT Mike- NO P.O.BOX p ADDRESS /1da �Gl ADDRESS 3 3� E$S e X (ST y CITY,STATE,ZIP 1 ' 0rWVCd I '/�/�1 � 01y`5 CITY,STATE,ZIP JAM, Y I T7 0/y 7U RESIDENCE PHONE X39 83F5 i BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THISIS�E IS P ABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE / T" DATE 11s1�81 v InSDectors use onlv Date on initial inspection: J 2/B� Date of reinspection: Date of issuance of certificate: 2- 1- v5? Date fee paid: "I.,P Type of unit: Dwelling 2 Other Check#3 9 i Check date: 7-,o Notes: Riva %A,, 1a cz% or�.�• Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS 4 BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR ISC 170SAI.I+M.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. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/22/05 Lafayette Street Realty Trust 7 Chatham Way Lynnfield, Ma 01940 PROPERTY LOCATED AT 392 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 yBoard of Hea th/ Reply to kJoanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector s CITY OF SALEM, MASSACHUSETTS 14L '� BOARD OF HEALTH n s � gj 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 11, 2003 James Bailey 81 Essex Street Salem, MA 01970 PROPERTY LOCATED 392 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 Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM9 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 3/8/05 Lafayette Street Realty Trust 7 Chatham Way Lynnfield, MA 01940 PROPERTY LOCATED AT 392 Essex Street Unit 5 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 Panne 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 2/22/05 Lafayette Street Realty Trust 7 Chatham Way Lynnfield, MA 01940 PROPERTY LOCATED AT 392 Essex Street Unit 6 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 the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH °. 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/22/05 Lafayette Street Realty Trust 7 Chatham Way Lynnfield, MA 01940 PROPERTY LOCATED AT 392 Essex Street Unit 7 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 Ser the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor .JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 3/23/06 Lafayette Street Realty Trust 7 Chatham Way Lynnfield, MA 01940 PROPERTY LOCATED AT 392 Essex Street Unit 8 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 co p p 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. gr,the Board of Heal h Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH +. 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 10/21/04 James Bailey 81 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 392 Essex Street Unit 10 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 oard of Health Reply to J 3�ic X L� '4uc7f " Joan Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS ;pp BOARD OF HEALTH i€ 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# 122-06 DATE ISSUED: 3/10/06 Property Located at: 392 Essex Street UNIT# 12 P Y Owner/Agent: Lafayette St. Realty Trust Address: P.O. Box 524 City/Town: W. Lynn, MA Zip Code: 01905 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 f 1;5evW JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ^ A • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 Vr71 FVTI 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 FI NESS FO HUMAN H TATION". PROPERTY LOCATED AT o l - UNIT# IS THIS UNIT DES[ N ED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Q ANAGER/AGENT No P.O. Box P.O. Box ADDRESS /' )� ADDRESS CITY U G I /U CITY RESIDENCE PHONF BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: �9 - ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8 THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA H DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �� 1016 APPLICANTS SIGNATURE DATE< 7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3– f--'* �- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES—!-�-_j-' DATE FEE PAID: TYPE OF UNIT: DWELLIFV OTHER_ CHECK# `C 3 3 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 - FAx 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit 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 that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized a,pents from any loss or injury sustained of whatever nature and description Occasioned by my/our absence during said inspection. � r TEiti,,,NT'/LESSEE 0r'NER/i s S hDURESS --- ------ - ADDRESS 1 _ r?DD 'S. UN 6F I"I' Tn i f INSPECTED WTI.' l CITY OF SALEM9 MASSACHUSETTS ,;- BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 98 TEL. 978-741-1800 p' FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 7/25/05 Lafayette Street Realty Trust 7 Chatham Way Lynnfield, MA 01940 PROPERTY LOCATED AT 392 Essex Street Unit 14 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 Jddnne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector �CONUIT 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 Fax,(978) 740-9705 10/18/2000 James Bailey 81 Essex Street Salem, MA 01970 PROPERTY LOCATED AT 392 Essex Street UNIT # 16 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 REPLY TO oann� t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR r l v��ONU1T CERT.# 521-99 FEE $25.00 5! DATE: 09/09/99 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: 393 Essex Street UNIT #: 2nd Floor Left OWNER/AGENT: Tuition Realty Trust ADDRESS: 393 Essex Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-5912 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.1410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER•IZ;. "MINIMUM STANDARDS•'OF, FIVESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND'410:400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING' PURP,OSES- NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANGE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MO II}FORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH D� / OANNE 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 II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUM/ANN HABITTAATI- N'. PROPERTY LOCATED AT 3/�? ✓�'� V7• JGC r%� UNIT#2!!4�,w-✓ /e7_7� IS THIS UNIT DESIGNATED//AS�S RIG LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER7;ZA 1, a MANAGER/AGENT �r, ✓��'� ✓ �� r No P.O. Box No P.O. Box ADDRESS �11�_�✓e7� ADDRESS CITY Uu� CITY RESIDENCE PHON 9/Y') 77"?`*iBUSINESS PHONE (24HRS. BUSINESS PHONE(9 Zer) TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.0o� 2.6V/ 4"S k7aeo, 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. / q APPLICANTS SIGNATURE / `/C�' DATE INSP TORS USE ONLY DATE OF INITIAL INSPECTION q-`"l '? '? DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.' DATE FEE PAID: 11� TYPE OF UNIT: DWELLING OTHER CHECK# S,SJ CHECK DATE : NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, P11b1iCHPAIth. Prevent. Promote. Prorom. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdln,MPH, REHS,CHO Mayor framdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-287 DATE ISSUED: 9/15/2015 Property Located at: 393 ESSEX STREET UNIT#2nd Floor Right Owner/Agent: James Jervinis Address: 393 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)590-2363 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 11 "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SA ARIAN CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMD[NOSALEM.COM LARRY RAMI)IN,RS/RI:I IS,CHO,CP-1+S HEAL,rH 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 393 � � UNrrW? a�— IS THIS UNIT DISIGNATED AS RIGHTTLLEFT FRONT ORB PLEASE CIRCLE ONE OWNER/LESSER �.idwf �®'/ MANAGER/AGENT f54w ADDRESS 3�3 L�� / ' �-" ADDRESS J~-e-- CITY, STATE,ZIP ef✓! � /f7U CITY, STATE,ZIP RESIDENCE PHONE (%7� s�o z3�3 BUSINESS PHONE(24HRS) BUSINESS PHONE (� TOTAL NUMBER OF ROOMS: / ROOM USE: 1. 2.G�s�sr 3. ° �L 5. 6. 7. J 8. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IAT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 0q/1 VX-)01-S- Date of reinspection: Date of issuance of certificate:07/1 U,/2n15- Date fee paid: ®�/14� I-r Type of unit: Dwelling_zother Check# ?—t2-2— Check date: o 9/.14 Notes: C e or ent Insp + o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a' gj 120 WASHINGTON STREET, 4TH FLOOR �Sp SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#402-04 DATE ISSUED: 09/03/2004 Property Located at: 393 Essex Street UNIT#3rd Floor Owner/Agent: Tuition Realty Trust Address: 393 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-5912 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Cade, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LIOANNE MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 7. IFft1r• 'iC A"•..S •'•• OARQ 1 .120,WASI INGTON$Tk EF.4T+1 FLOOR SAi.E.ra,ItA,A,O797`0 - TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, C140 MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER It, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAA HAB N". PROPERTY LOCATED AT j �� " 1 `� UNIT J IS THIS UNIT DESIGNATED AS��RIGHT LEFT FRONT BACK PLEASE CIR-CCL-E ONE, �— OWNER/LESSER lu'* 4t"l MANAGER/AGENT Or-. No P.O. Box No P.O.Box ADDRESS _�i°1 F SS e x C F_ ADDRESS CITY -,:� CITY r RESIDENCE PHONE BUSINESS PHONE (24 HRS-) BUSINESS PHONES fg�14 _ TOTAL NUMBER OF ROOMS: 5 ROOM USE: 1. 2. 3. 4. 5-- -6-- 7. 8. THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL M HEAIT EPARTMENT THIS FEE IS PAYA13LE AT THE TIME OF INSPECTION. (r Cj APPLICANTS SIGNATURE _ _ _ _ _ i / _DATE_ SPEC S USE ONLY SATE OF INITIAI INSPECTION _g-__?_" DATC Of REINSPf CTION_ DA-1 L OF ISSUANCE OF CER1lFICATE. 3 DATE FEF PAID TY(-'E OI UNIT OWLLLIN O1 HEft Ct{FCv7 HEcr, DA IF 3 NO'I ES, CODE I-NPORCLMFNT IIdSPl-CT0 R �t c1t'.18 CITY OF SALEM, MASSACHUSETTS BOARD OF I-JEALTH 120 WASHINGTON STREET,4"'FLOOR TLL. (978) 741-1800 ICNIBERLEY DRISCOLL F.11(978) 745-0343 MAYOR Dcia;14NBAUn1aSAL .m.COM DAVID GRE'ENBAUM ACTING HI'd11;C1-f ACI?N'1' CERTIFICATE OF FITNESS CERTIFICATE #377-09 DATE ISSUED: 8/10/2009 Property Located at: 395 Essex Street UNIT#2 Owner/Agent: Audette Family Living Trust Address: P.O. Box 1480 City/Town: Newburyport, MA Zip Code: 01950 24 Hour Phone: 978-270-4834 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 BOPff OF HEALTH I DAVID G EENBA ACTING HEALTH AGENT CODENCO CEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 3 `� �r BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR ucar:r.NBAUNIeSALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT CS64'X $N i UNIT# 2- IS THIS UNIT DISIGNATED AS RIGHT LEVr.FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSERAvd�x -9k N^ I c Y L,I ",we -YMANAGER/AGENT W A 21r NO P.O. BOX pp n ADDRESS i • �a?C /�{� ADDRESS CITY, STATE, ZIP N PC v7- CITY, STATE,ZIP YIA4 O 1 4 S' C7 RESIDENCE PHONE BUSINESS PHONE(24HRS) 9 7Fr-2`70— t-f F.?4f BUSINESS PHONE SA L11_4L— TOTAL NUMBER OF ROOMS: 4/ ROOM USE: 2. L i v I%-G 3. U h 4. Q 0>t,r%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 Pf� AT E OF INSPECTION APPLICANT'S SIGNATURE L DATE 1106 J Insnectors use onlv Date on initial inspection: _X /1 U/Q� G Date of reinspection: G Date of issuance of certificate: h ho 16 / Date fee paid: 8 Type of unit: Dwelling�Other Check# Check date: Notes: A ef- j u rry GQ ( GN aL i W V1d m) I rl C) U 1 W Code Enforcement lWectoAJ • CITY OF SALEM, MASSACHUSETTS F BOARD OF HrALTH 120 WASHINGTON STRECT,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUNl(C1�SALENMMI Dmlli)GRUFNRAUNI ACTING HFAI:CI-I AG FNI Facsimile 1 Transmittal To: I,T-' l .Pw nA VVI) A - w�� Fax # <3/w L/63 91s." RE: Q -,y` TJSSLIC Date Page(s): including this cover#— Message: �/baffi,�na/ Board of Health News ----------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Aug 14 2009 12:32pm Last Fax Date Time Twe Identification Duration Paces Resmlt Aug 14 12:31pm Sent 919784539128 0:00 0 No answer HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Aug 13 2009 1:34pm Last Fax Date Time Twe Identification Duration Pa"e Rmlj Aug 13 1:33pm Sent 919784539150 0:00 0 No answer HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Aug 13 2009 12:05pm Last Fax Date TimeTwe Identification Duration PaM &s It Aug 43 12:04pm Sent 919784539128 0:00 0 No answer HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 9787450343 Aug 17 2009 12:32pm Last Fax Date Time Twe Identification Duration. P Ramis `t Aug 17 12:31pm Sent 919784539150 0:00 0 No answer CITY OF SALEM, MASSACHUSET"T"S r BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREI?N11AUM(@.SAI.IdT,LCOM DAv1D Giu ENBAUM Ac'I'1N(i HEAI.'rH Au-;NI' Facsimile Transmittal To: Aor ,r, AIJv4+C Fax # q'79- N4S- & 00 7 RE: ,3qs ezw CS4. Date : 8 �/d�G1 Page(s): including this cover# Message: Board of Health News -------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Aug 18 2009 9:15am Last Fax Date Time Twe Identification Dura •on Pages Result Aug 18 9:14am Sent 919784656607 0:36 2 OK Result: OK - black and white fax CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 05/02/2001 Roland & Pauline Audette 18 High Road Newbury, MA 01951 PROPERTY LOCATED AT 395 Essex Street UNIT # 3 Front 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 HE TH 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 NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 03/01/2001 Roland & Pauline Audette 18 High Road Newbury, MA 01951 PROPERTY LOCATED AT 395 Essex Street UNIT # 3 Front 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 TH REPLY TO annne/S�tt, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR a CITY OF SALEM9 MASSACHUSETTS $ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR r Q SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 8/9/05 Roland & Pauline Audette 18 High Road Newbury, MA 01951 PROPERTY LOCATED AT 395 Essex Street Unit 3R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8,00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F r the Board of He�}th�� Reply to oanne Scott MPH, IRS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF I IHArfH IPil�?IICH h 120 WASHINGTON STREFf,4"`FLOOR TFL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL tramdin c(�rsalem.com L,1Ktt1'1U14iDIN,ItSf RL'.t35,r;1-10,C;t, 15 MAYOR FIE I nt AcI?N'r CERTIFICATE OF FITNESS CERTIFICATE#463-12 DATE ISSUED: 12/7/2012 Property Located at: 395 Essex Street UNIT#5 Owner/Agent: Audette Family Living Trust Address: P.O. Box 1480 City/Town: Newburyport, MA Zip Code: 01950 24 Hour Phone: 978-270-4834 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 9 there is a valid Certificate of Occupancy. OR THE BOARD OF HEALTH LARRMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, IVIt1SSACI-IUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR 1PublicHealt]t FrcrenL 1'romofc.Prolee TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdinnsalem.com � MAYOR L:\I2125�Rr\A�IllIN,IiS/lil'.HS,CI IO,CT-FS I-IFAL fl I A(7ISNT 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 301S e 55e-)e 5 fie` UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSERA�() -M� N,TmANAGER/AGENT AAA-(� A uae-I 'e-- NO P.O. BOX ADDRESS PAX /1YFf0 ADDRESS CITY, STATE,ZIP N��`t P'v`1 1P 0 CITY, STATE,ZIP /Y y l q S RESIDENCE PHONE BUSINESS PHONE(24HRS) 9 z-76 ' Y1YJ?`I BUSINESS PHONE TOTAL NUMBER OF ROOMS: f11 ROOM USE: 1. L P-- 2. 3. K t t 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 PAYABL AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE / c Insnectors use only Date on initial inspection: — iah ha Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling � Other Check# �5l � Check date: l�� 7�J Notes: Ilam1 vtcJ-1 ��t�,c —Yxi1 � �i'r! �� C70 . f Z !/ ry I I- CjdeNkBV&tWnent Inspector CITY OF SALEM, MASSACHUSETTS Bomu-)()FHE u,rl-1 120 1X/ASI-IINCPON STREET,4"'1'1.(H it 1,171.. (978) 741-1800 1<1MB13RLL:Y llRISC01_I' F,\x(978)745-0343 MAYOR Irandinnsalem.coin LAItRY RANIDIN, KS/RIiIts,a K1,cI'-i 9 Facsimile Transmittal To: .�'/��iVl Fax # RE: Date : ��,J Page(s): including this cover# Message: Board of Health News -------------------------------------- ----For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 12/11/2012 23: 17 NAME FAX 9787450343 TEL 9787411800 SER. # 000S0N341991 DATEJIME 12/11 23:17 FA;; NO. /NAME 919787449614 DURATION 00: 00: 28 PAGES) 02 RESULT OK MODE STANDARD ECM City of Salem, Massachusetts JJ n Board of Health 120 Washington Street, 4th Floor, Salem, PlubliCHP,alth Prevent. Promote. Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-394 DATE ISSUED: 11/30/2015 Property Located at: 420 ESSEX STREET UNIT#1 Owner/Agent: John Hickey Address: 104 Simpson Drive City/Town: Framingham, MA Zip Code: 01701 24 Hour Phone:(757) 685-9094 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO S ITAARIAN fa HEALTH AGENT t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 12O WASHINGTON STREET,4T" FLOOR TEL. (978)741-1800 KIMBERLEY DRI9",OLL FAX (978)745-0343 MAYOR LRAMDIN @S4,LEM.COM LA RRY RAM D I N,RSr REH$CH O,CP-FS HEALTH AGENT Application for Certificated Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" f / FEE: $50.00 PROPERTY LOCATED AT //t 7i� SSS �/� I UNIT#—t— ISTH`IS UNIT DISIGNAIT/ED AS RIGHT LEFT FRONT OR BACK, PLEASE CI RC/ E ONE T OWNER/LESSER C If)Vl )/1 i� t LK-L MANAGERIAGENT NO P.O. BOX U ADDRESS ADDRESS 'M C1.UrG(n Sr SA(e4lU CITY, STATE,ZIP CITY,STATE,ZIP AAA- 01�1 -7d RESIDENCE PHONE BUSINESS PHONE(24HRS) e? `6( BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. L(J 210W\2. .�Z- 3. tL( "4. 6 G-j V . 5. �_JJ 6. 7. 8. 9. 10. THERE ISA FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION A PPL ICA NT'S SIGNATURE �� // DATE `` Inspectors use oniv Date on initial inspection: Dateof reinspection: Dateof issuanceof certificate: Date fee paid:11-/?.s/wi Type of unit: Dwellin"/—, Other Check#// �_ Check date: 1112—V 1S Notes Iv�ria r-nom w W9 �o�.l�T 4 -FrnZ4 I -ance ;S m rSSrn-q SAY e.17 .. rcement,F�ispector