The URL can be used to link to this page

10-12 FIRST STREET-NORTH First Street, - North a 1 0 O Q d a® 11 11 1111 1 11111 1 11 11111 a ""�""�"''°"•""""`"' .y rpNnt� City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16.435 DATE ISSUED: 11/7/2016 Property Located at: 12 FIRST STREET UNIT#N102 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. EGagakis Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN Y nl � CITY OF S_=1LEti1, l'LASS_�CHtiSETTS BOARD OF HEALTH PublicHealt 120'N.AS4"'HINGTON STREET, FLOOR h Prevent.PromotePr It TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin(a.salem.com 1VIAYOR LARRYR�\6ID[N,RS/RLHS,CHO,CI'-['S HEALTH AGt: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" ��rr L FEE: $50.00 PROPERTY LOCATED AT �_ Fl v(+- YIY � uNlT#- V2— IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER 79W. 1�I�.k"AS MANAGER/AGENT Soa.l\ r� sS�C NO P.O.BOX __ ` VVV ADDRESS �'1_F�v14'S� �^n 11 ADDRESS �LLI'Y�Q SA l ieW i A% O lq 7o CITY, STATE,ZIP s` � CITY, STATE,ZIP l 1 �pL RESIDENCE PHONE 01—!7 9* �45 e L0 BUSINESS PHONE(24HRS) BUSINESS PHONE cL TOTAL NUMBER OF ROOMS: to ROOM USE: 1. i6t 2. D (?- 3. L-(2- 4. SAr-W',5. KOt-rv�, � 6. f),A �-M 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT T'S SIGNATURE DATE Insvectors use onlv Date on initial inspection: (�I�� I�� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: '-7 qC1 Site Name Pequot Hishlan s oiie 4 Date Received / Purchase Order# y �za /�` �-�31— Batch*' Code Enforcement Inspector :J GL Code — Amount to be Paid _ Approved By 4L 9 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 'I FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#89-08 DATE ISSUED: 2/21/2008 Property Located at: 12 First Street UNIT# N105 Owner/Agent: Pequot Highlands S Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of yourvacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE O,F�HEJALT�H JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR s MASSACHUSETTS BOARD CITY OF SALEM, BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 a TEL. 978-741-1 800 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 ATt-2 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE A OWNERfLES5 \p }� MANAGERAGENIC(T >Pv. C'`_� � � � No P.O. Box No P.O. Box ADDR�ESSj! y-�� -_ADDRESS CITY h O nn 1 C\C D C 7 CITY IV RESIDENCE PHONE \ .�� L BUSINESS PHONE (24 HRS.) Q9\ TU BUSINESS PHONE l TOTAL NUMBER OF ROOMS -- --- ROOM USE: t.i sC � ( �z � ztm �C �rzr 5l��- 6------7, 8.------- THERE IS A TWENTY-FIVE{$25.04} 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 SIGNAT'URE� INSPECTORS USE ONLY DA.T'E :F 'NMAL INSPECTiON i O g DATE ,-)F REINSPECTION DATE OF ISSUANCE OF CER IFICATE 2 I' 6pnATE FEE PAID TYPF -THER " IECK 1 - 0 ^ = d4, f� NOTES. 1 ------------------ - d�OND1T�� 6 City of Salem, Massachusetts q Board of Health " 120 Washington Street, 4th Floor, Salem, Public Health 'y P R MA 01970 Prevent. Promote. Prntem. 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-15-51 DATE ISSUED: 5/4/2015 Property Located at: 12 FIRST STREET UNIT#N106 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 F� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT IAN CITY OF SALEM, NLASSACHUSE'ITS lu BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOORRlbflcIiealt 1 Prevent.Promote.Protect. TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdinnsalem.com MAYOR LAItR1'ItnamtN,xs/REHs,C1 10,c:r-Fs HEAL:tTt AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIM-UM STANDARDS OF FITNESS FOR HUMAN HABITATION_" FEE: $50.00 PROPERTY LOCATED AT 1/s 1' r N ' ( 0(0 UNIT# IS THIS UNIT DISIG1NATED AS RIGHT LEFT FRONT OR BACK PLEASE(CIRCLE ONE OWNER/LESSER � oF Y�`c�ds MANAGER/AGENT vCar\ NO P.O.BOX -_ 1 l ADDRESS l _ Y��' 1 ^ ADDRESS ISGL.v-AQ CITY, STATE, ZIP SWM /t/p V/T,0 « 7o CITY, STATE,ZIP �s�k RESIDENCE PHONE q ! o' �`'t'5 ' 4A 6pL� BUSINESS PHONE(24HRS) BUSINESS PHONE C'-RCtQ{ �ll �IandS@winneo . Cam TOTAL NUMBER OF ROOMS: 3 1 ROOM USE: 1. �� 2. i AQ- 3. C7� 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 P YABLET TOF NSPECTION 1 / APPLICANT'S SIGNATURE ? �%`' \ ATE6 Inspectors use only Date on initial inspection: (DJ01�J� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: cao �iy 15cl-- -• Site# Date Received Purchase Order# Code'E&rkhient Inspector Batch# GL Code (np{ Amount to be Paid Q C� . n9 v Approved By -k D City of Salem, Massachusetts ftwo-�,, N Board of Health Q 120 Washington Street, 4th Floor, Salem, prevent. promote. Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHQ-16.491 DATE ISSUED: 12/19/2016 Property Located at: 12 FIRST STREET UNIT#N-108 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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. Nate: This approval does not certify compliance with the state lead law for occupants under 6 years of age. 7SA7.11IN g Larry Ramdin, MPH, REHS, CHO HEALTH AGENT CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOORPublicHealth Prevent.Promote Protect TEL. (978) 741-1800 FAX(978)745-0343 KRYfBERLEY DRISCOLL lramdinnn salem.com MAYOR I.ARIt1 RAr.B�m,Its/REIis,cHo,Cl'-[;S HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 �j PROPERTY LOCATED AT Z 01 VST "I UNIT#� �J p IS THIS UNIT DISIG1NA1TED AS RIGHT LEFT FRONT OR BAM PLEASE CIRCLE ONE OWNEWLES SER t O Y�\CU�1�S MANAGER/AGENT :Ycia PN '� �SSPA( NO P.O.BOX ADDRESS -,F;1(�s[' tS 1 ADDRESS CITY, STATE,ZIP S—ICJI'T 11)' AAA V'/F10 t q 7o CITY, STATE,ZIP 7 s � RESIDENCE PHONE q 1 9' 7` 5 ' 'A 4 BUSINESS PHONE(24HRS) BUSINESS PHONE C—ASL TOTAL NUMBER OF ROOMS: I-) ROOM USE: 1. VA� 2. UL 3. AY — 4. (21t 5. 6 F- 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insvectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate* `Vl gIZ074 Date fee paid: �1Z5�20.�b Type of unit: Dwelling Other Check#SD-L2�Check date:I�2�_6 Notes: n � rp I Site Name Pequot Hiqhlands Site# 0137 Lute Receiveo C Purchase Order# cement ector Batch# GL Code (4 Amount Paid 5 — Approvedd By City of Salem, Massachusetts m Board of Health 90 120 Washington Street, 4th Floor, Salem, PubliCHeAlth MA 01970 Prcva,t. 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-17-371 DATE ISSUED: 10/31/2017 Property Located at: 10 12 IRST STREET UNIT#N109 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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 a CII . OF 1200.\SHIN'ct'ONSl:ti:I':t,-4' Fls_v., TLI_,91a; 141-ISW KI`[B-MRLEY DMSCOL.L F.\x(973')743-0343 lIAYOR TTa4 ?r ; CM, JOANNE SCOTT, HEALTII AGE'NT Application for Certificate of Fitness IN' ACCORD.kNCE WITH STATE SNNITARY CODE, CHAPTER 11, 105 CNa 410.000 lI ;TMIU71 STAN'DARDS OF FITNESS FOR HUNLAN HABIT'ATIO'N." FEE: $5,,0`.00 f�� r PROPERTY LOCATED AT t 2 1 l 5 1 C� Uti[T- � " 't u� IS THIS UNIT DISIGSATED AS&!jn=FRONT OR BaC,PLEASE CIRCLE OMT. O'VNcRT.ESSER I Pp,il (ir_— CQ l� WI_ I—� N[ NAGER/AGENT � U�l✓1 lSS2( I NO P.O.BOY ADDRESS I Z �t�(S 31 r e Q _ ADDRESS CITE", STATE,ZIP �ra ,��n� (J � x-70 CITY, STATE,ZIP RESIDENCE PHONE<(n BUSINESS PHONE(2 HRS) C1 BUSINESS PHONE c� ��J�, TOTAL INULtSER OF ROOMS: ��y Q�� ROOMS USE: 1. /MA [ 3. L1` 3, VkAAA 4. 5. 6. • 7__ S. — 9. 10. THERE IS A FIFTY(550) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM[ BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors we only Da::or,in:fla: inspection: Da:e o`rzinspectior.: Da; of issuance of ce tiEcate: Date fee paid: T}pe ofue._, D,,rcltam Oth„ Check# Checkdate. Notes: Code Enforcement Inspector t� CITY OF SALEM, MASSACHUSETTS BOARD OF HF\LTH 120 WAST-IINGTON SIRF.,P"I',4p.FLOOR PI1b�CHP >f}l 'TFL. (978)741-1800 FAX (978) 745-0343 I IMB RI,I:Y DRISCOIJ, L'amdinna salem.com - I„ARRY]UnmIN,xs/Ria is,010,Cis-i+s MAYOR Hi AI:rl1Ar;ENT CERTIFICATE OF FITNESS CERTIFICATE#301-12 DATE ISSUED: 7/20/2012 Property Located at: 12 First Street UNIT# N-110 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll” Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT A ITARIAN l_ ' 1 CITY OF SALEM, MASSACHUSETTS «a' Bo.ARD OF HEAL:fH 120 R ASHrvc CON SrRI-.r.r 4"'FLOOR TE.1, (978)741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 L'L,,YOR iSC OTTOS.\I.FM.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FE/E: $50..00 ` ,�� PROPERTY LOCATED AT /42- rC� S ?�-P� 7 x1�CYYI lam( UNIT# �g e r i� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACF,PLEASE CIRCLE 9NE OWNER/LESSER Q rI e/S MANAGER/AGENT lI W l(W/14 NO P.O.BOX ADDRESS ADDRESS CITY, STATE, ZIP' k CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 7 77 TOTAL NUMBER O� p F�ROOMS: ROOM USE: I.Kr(7%G -tl 21,1l'/ 1-9M3_ZrTr1yi 4. ")??l 5. 6. . 8. 910. CD7i�J THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TH FEE I PAYABLE<AT T TIME INSPECTION APPLICANT'S SIGNATURE DATE �/ y� Insoectors use onlv Date on initial inspection: jl( ( 1 L Date of reinspectior Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check 41 Check date: Notes: l 1�l Codeent Inspector CITY OF SALEM, MASSACHUSETTS a d Bo.1m of HEALTH 120 WASHINGTON STREET,4' FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LxAN D1NOSALEM.COM L.ARRYRANIDN,Rs/REHs,CHo,Q'-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Les e 2111 Owner/Lessor 12 Flr�+ S�reP 1 1�1- Iln i� F1r�t .4v eek Salem MA plq'10 Address 5atem MA OYa�b Address tQ - I1O Address on unit to be inspected , 1Iq1I2 Date Updated 5/23/11 n City of Salem, Massachusetts � a Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHealth 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-17-53 DATE ISSUED: 3/2/2017 Property Located at: 10 12 IRST STREET UNIT#N111 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. JIM j I f u Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITE' OF SALEM, l\LkSSACHUSETTS BONIM OI'HEAMH 120 WASHING FON SIxF.I:I 41'FLooit TEI,.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)743-0343 ALIYOR ISQ)T (a�Svru.COSI JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT CI lea-(X51 Y AOL UNIT#_N±L IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONTE OWNER/LESSER ? — SQ IP VV1 L-0 MANAGER/AGENT (J4A P-t&S S-e NO P.O.BOX ,, ADDRESc_1 Z �tl'q �pp { .� ( 1 ADDRESS�GU�� CITY, STATE, ZIP 0�,(1 X��VVI 1 M A 01 '�70 CITY, STATE,ZIP �aw-Q. I C RESIDENCE PHONE�f 1.�2. RUSINESS PHONE(24HRS) BUSINESS PHONE �C� TOTAL NUMBER OF ROOMS: 1 I, y� ROOM USE: 1. � 2. � VQ 3. OA,, 4. AAVV, 5. 6. 7. 8. 9. 10. THERE IS A FIFTY(S50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE lInsoectors use onlv Date on initial inspection: / �)��y Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: dcrf Codle nforcement Inspector7-10 i 2,d y — CITY OF SALEM, MASSACHUSETTS • BOARD OF HFALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRETNBAI IMnSALEM.COM DAvrD GRIEVNBAUM A(n'ING HP.AI;PH AGI?NT CERTIFICATE OF FITNESS CERTIFICATE#495-09 DATE ISSUED: 9/30/2009 Property Located at: 12 First Street UNIT#N-112 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH I DA ID;Gd' ACTING HEALTH AGENT CODEORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD ov HvAITH 120 VIASI-IING'VON S IRlil!"T 4°1 FLOOR '111- (978) 741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 MAYOR l.rml.COM IOANNI3SCOIT, HEAI; H 11GEN"I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50..00 PROPERTY LOCATED AT InZ f Sl �1�f PQ� . I P �I 1 M� I q�� UNIT# U-1 is IS THIS UNIT 1DIISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE I OWNER/LESSER�� t )Xh1 Co��n�r�� MANAGER AGENT �Pr�Vll1P ADDRESS I �i1 1� ��(QP� ADDRESS vu/A CITY, STATE,ZIP ' e f Yl CD I9 '-?n CITY, STATE, ZIP XJJ A RESIDENCE PHONE ' / BUSINESS PHONE(24HRS) T>?, BUSINESS PHONE 9"A- �C 'Y cSS(-I TOTAL NUMBER OF ROOMS: ROOMUSE: IAIi 06) 2.�. virlcJ 3.��c.YCl�ncfY141�w��tnnmS. l C)(Utiry) 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 IIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ///P/.f/YI/Y1 O, �hl� DATE Inspectors use only Date on initial inspection: qA U/,/ I Date of reinspection: Date of issuance of certificate: q 130 /D `) cpDate fee paid: Mo/,�rl Type of unit: Dwelling /Other Check# %yaGysCheck date: 9// Notes: G� Code E cement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STARRY 4`FLOOR PablicHea Ith Prevent,Promote.Protect TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL ltamdinnsalem.com - L;1R121"RAMDIN,RS/RI{115,C1f(l,CP-I�S MAYOR HISAI a'li A(;L:N'1' CERTIFICATE OF FITNESS CERTIFICATE#231-13 DATE ISSUED: 7/12/2013 Property Located at: .12 First Street UNIT#N-202 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Cade 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. ^ 4;rRD HEALTH /L•�• LARRY RAMDIN '1 .3 HEALTH AGENT S r CITY OF SALEM, MASSACHUSETTS u BOARD OF HEALTH 120 WASHINGTON STREET,4TM'FLOOR PublicHealth Prevent.Promote Proec[. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdin(7nsalem.com MAYOR LARRY RANIUIN,ILS/RFIIS,CHO,Cr-FS Hr-,ALniAGENT 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 , r_ PROPERTY LOCATED AT I L�'J �fi N -a-O a--- _ UNIT/v0-63— IS THIS Ur T DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE p OWNER/LESSER P2c'u .n-C H (' k-4,",n MANAGER/AGENT NO P.O.BOX tJ ADDRESS I \- [:: ✓--( t" _<I- 7 ADDRESS l _ n✓S� Sfi CITY, STATE,ZIP � G-kX-� AAA (�ICI !b CITY, STATE,ZlP S C`Q--A� (v-\ /L\ U cl Z 3 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: --P ROOM USE: 1. U�ILL,,,.. 2. 3. Li L'<4 fbL% 4. (0,-J 5. 6.1,A-n- 7. 8. ° 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE t7,11111 7 Inspectors use only Date on initial inspection: / �'1/II Date of reinspection: Date of issuance of certificate: Date fee paid: T `� Type of unit: Dwelling Other Check#�lq a 1 Check date: 7 i Notes: �--� 1 Co ement Inspector "NDIT City of Salem, Massachusetts fi Board of Health ` 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.75 DATE ISSUED: 3/4/2016 Property Located at: 12 FIRST STREET UNIT#N205 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 Dwelling/RoomingUnit at the above e address has been approved and is in compliance with 105 CMR PP P 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 P comply p y wi h t 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 / r HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BO.aRD OF HEALTH PubliCHealth 120%VASHINGTON STREET',C FLOOR Prevent,Promote Prolect. TEL. (978)741-1800 FAX(978)745-0343 Kri'YIBERLEY DRISCOLL lramdinQsalem.com I,ARIiY RAS€DN,RSf RENS,CNO,Ci'-[•'S MAYOR HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE 'WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 ,,MNLMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" t} j FEET: $50..00 /� PROPERTY LOCATED AT I r/` � r5L ( `)CT rl P� l d UDIIT# A5 7IS THIS U WIT DISIGINATt ED AS RIGHT LEFT FROM'OR BACK,PLEASE CIRCLE ONE OWNER/LESSER T�LO� Y k(LAAS MANAGER/AGENT 3o-r\ "� �ssek( NO P.O. BOX ADDRESS ��Fi�C�` S� ADDRESS S F CITY,STATE,ZIP --:)a 1 , ► , !y A 0 R7o CITY,STATE,ZIP RESIDENCE PHONE q"IZ' �4 V- "1 b L4 BUSINESS PHONE(24FIRS) BUSINESS PHONE TOTAL NUMBER OyF' ROOMS: y ROOM USE: 1. N-VI 2. 3. _ +K�� 4. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICAN'T'S SIGNATURE i I/ A ____ DATE Insvectors use only Date on initial inspection: 02-X25%20,1-4 Date of reinspection: Date of issuance of certificate: 02/2520 Lti Date fee paid:r)2.1Z9/2117 C Type of unit: Dwelling '✓/Other Check#t*7bo n Check date: 0 -111/ZOIZ Notes: 15q Ite iiam2 reyuvt niyittaiitJS Site It 0�137/,.,.•— Date Received t l� / Purchase Order 11 / /--�-�-372n Co cemen pector Batch;? GL Code e, (0 Amount to be Paid �7Q r Ot Approved By `oND " City of Salem, Massachusetts � R q Board of Health 120 Washington Street, 4th Floor, Salem, Pt1bliCHeslth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-406 DATE ISSUED: 12/4/2015 Property Located at: 12 FIRST STREET UNIT#N-207 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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,-,A�-� kLO/10( Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • , CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET 4"'FLOOR Public Health > Prevent.Promote Protect TEL. (978) 741-1800 FA1(978)745-0343 KIDQBERLEY DRISCOLL 1ramdin(7n salem.com MAYOR LARRI'>�An,mm,xs/REHs,c.Ito,CII-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" nn �LFEE: $550.(00 ^ n ;)-07 7 PROPERTY LOCATED AT o� �� I �"c� r l , /V t/ 1 1 v UNIT# N IS THIS UNIT DISIG1NA1TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 7�W� Y k d AA S MANAGER/AGENT 5oa rN " sSe l NO P.O. BOX J 1 l v ADDRESS `�_�YaSSI A �7 ADDRESS ^ CITY, STATE,ZIP , /vA 0 �q /0 CITY, STATE,ZIP SaNY�A RESIDENCE PHONE q-11g' 745 - 4 �j L0 BUSINESS PHONE(24HRS) SQ n BUSINESS PHONE � C TOTAL NUMBER OF ROOMS: ROOM USE: 1. T-T 2. 3. 4. K 1 5. 1�� 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 0 1 DATE Inspectors use only Date on initial inspection:l/3012D 5- ---- Date of reinspection: Date of issuance of certificate:.1113017-015 Date fee paid: 11./2W-2= L 5- Type of unit: Dwelling��Other Check#Check date:_LLakoZ,5- Notes: Site Name Pequot Highlands Slita M �� 0137, Date Received /11/01/ Purchase Order# % t) 3� 7 Batch# M/ g orcement pector GL Code V Amount to be Paid Approved By t;OND City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHes 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-16-156 DATE ISSUED: 5/6/2016 Property Located at: 12 FIRST STREET UNIT#N-209 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 F-� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, NLASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PublicHealth Preventromote Protect TEL. (978) 741-1800 FAZ(978) 745-0343 KINMERLEY DRISCOLL lramdin[171.salem.com MAYOR Lt\RSLI�RAbIDIN,RS/REFIS,CHO,CP-FS HFAuru 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" LFEE: �$50'.0A0� ��Q n -7 PROPERTY LOCATED AT a3� �"1 Sab Al j , I 1 1 I ,) I`1 / D UNIT# ' IS THI$UNIT DISIG1NA 1TED AS RIGHT LEFT FRONT OR BAM PLEASE CIRCLE ONE OWNER/LESSER 7eAIW` MANAGER/AGENT 3- oar\ " asst NO P.O.BOX Y l l ADDRESS ` � _ Y '�,,,s1'--,^,�1 MA n /� �7 ADDRESS SCL.VYN Q CITY, STATE,ZIP �IeW I /V V/T10 t�'t /0 CITY, STATE,ZIP Sa�MA RESIDENCE PHONE q I K "7 4S ' 1 L0 BUSINESS PHONE (24HRS) BUSINESS PHONE C--L�`�, TOTAL NUMBER OF ROOMS: ✓ n ROOM USE: 1. kj A- 2. LIZ- /�3. P 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 PAYAB AT THE TIME OF INSPECTION L//�— APPLICANTS SIGNATURE I � DATE I 1 D Inspectors use only Date on initial inspection:(0 Y12,V2-6A Date of reinspection: Date of issuance of certificate:JDVIY-6a i� Date fee paid:0S/03,/2n1( Type of unit: Dwelling t/ Other Check#39212011- Check date: OY/Z-7120)-6 Notes: -7 N9 eo Site ivame requot riignlands Site# �O-,i 37 / Date Received Purchase Order# .0 of cement ector Batch;i G L Code 2 Amount to be Paidt s—�"�-D 1 Ott Approved By _ CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#551-06 DATE ISSUED: 11/6/2006 Property Located at: 12 First Street UNIT# N-210 Owner/Agent: Pequot Highland Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Rug 07 06 02: 37p Joanne Scott Salem 80H 978 745 0343 p. l 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHISNOTON EM, MAR01970TH FLOOR RECEIVED TEL. 978-741.1800 994H FAX 978.745-0343 NOV — 9 2006 JOANNE SCOTT. MPH, RS, CHO _ Kimberley Ortscoll HEALTH AGENT CITY OF SALEM BOARD OF HEALTH Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CI IAPTER II, 10S CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT 1a F1Y-Si 51YCf1_j -n\em. N)A UNIT It�- 1�o1G1 O IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT 13ACK PLEASE CIRCLE ONE OWNER(LESSER PeQUUrE NVlh\Onr1C MANAGERIAGENTWInn 'Re,5�&0+\O,� No P.O. Box No P.O.Box ADDRGSS�,FIrsF SAret-+ ADDRESS_,. — CITY Salem RESIDENCE PHONE _,_ BUSINESS PHONE (24 DUSINCOv PHONE (g2t8 3y5�� t __ TOTAL NUMBER OF ROOMS: H ROOM USE 1.he6rooly\ 2.hC&U&M3. Y khe t) 4._ 1V1 Ty-) THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THC CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYASI E AT THE TIME OF INSPECTION. APPLICANTO CIGNATURE_.11(] okr.�\_ o INSPECTORS USE ONLY DATE OF INITIAL_ IN$PF(-, ON—/ ? --F_/ -_DATE OF REINSPECTION__ DATE OF ISSUANCE OF CERTIFICATF�,1�_,i--O!!�:—DATE FEE PAID TYPE OF UNIT; DWELLIN OTHERCHECK #./0 7 q CHECK NOTES:___ CODE ENFORCEMENT INSPECTOR 9/28198 City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, PPiVt� MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor health@saiem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-99 DATE ISSUED: 3/30/2017 Property Located at: 12 FIRST STREET UNIT#N211 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 SANITARIAN HEALTH AGENT a CITE' OF SALEM, NL�SSACHUSETTS Bomu)orHi:ALTH 120%�'ASInN,G'rON S nu:l r 4"FLooii TEL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)743-0343 TNLkYOR Isco-rrrs v.r.,\I.COSI JOANNE- SCOTT, HEAI.TI-I AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MNIVIUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE.:�$5�0.000 PROPERTY LOCATED AT 12 � {�� LC.tG/1 UNITS N—14 I IS THIS L1TT DISIGNATED AS RIGHT LEFT FROST OR BACK,PLEASE CIRCLE ONE OWNER/LESSER I?e tO O1 — Sa lP VVI L-0 MANAGER/AGENT 3 (J" RA&S S-60 NO P.O.BOX ,, • �7 ADDRESS I Z F1�rS� _ ___ ADDRESS �S"V-z CITY, STATE,ZIP < GrJR)" 1 M A (7I '7U CITY, STATE,ZIP RESIDENCE PHONE<�6 BUSINESSPHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: `'f II ROOM USE: 1. M 2. t�lL 3. MOMS, 4. XeJ1/O 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 2 12 Insoectors use onlv Date on initial inspection: ( Jt (��I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Site Name Pepuot•Salem LP Site# 1985 Code Enforcement Inspector Date Received Purchase Order# U GL Code (0790 Amount to be Paid Approved By City of Salem, Massachusetts ] 3 � >�g Board of Health Y D 120 Washington Street, 4th Floor, Salem, Public Health MA 01970 Pee.ent. Puimnv. PRM,e ,, 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-15-370 DATE ISSUED- 11/6/2015 Property Located at: 12 FIRST STREET UNIT#N-212 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: (978) 745-4884 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,� U ye;�/ko� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PablicHealth Praev.Promote Protect. TEL. (978) 741-1800 FAx(978)745-0343 KINMERLEY DRISCOLL Iramdinna.salem.com MAYOR LARRY RnnrotN,Rs/REHS,clto,Cl'-[-',S HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 -C-aL WC)1q 7 -)'2 PROPERTY LOCATED AT � � 2 IS THIS UNIT�DJI,S,IG1NATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER Vq wfl t\14x-4(�._Y1,4S MANAGER/AGENT :Yoa 1 'N,SSeA( ADDRESS 2_ Yost' AAA ^`J^ ADDRESS SCL4-A Q CITY,STATE,ZIP SaICJI'► 1 , /t/V'T10 I q 7D CITY, STATE,ZIP SSR RESIDENCE PHONE q-1 K � 5 ' y a0L4 BUSINESS PHONE(24HRS) 9,M-C BUSINESS PHONE C-:I; � TOTAL NUMBER nOFF ROOMS: 3 ROOM USE: 1. 1l�, 2. LK 3. C)i� 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT (/ INSPECTION APPLICANT'S SIGNATURE (//J DATE I D'ZZl'S Inspectors use only Date on initial inspection: Wxl201 C- Date of reinspection: Date of issuance of certificate:. IX1202_r Date fee paid:1 /n/Z(2S- Type of unit: Dwelling---,.IZOther Check# 9 qW 511 Check date:3-0/21/201�- Notes: -71- Site yName Pequot Highlands Date Received lot y� Purchase Order# Batch# �q forceme t Inspector GL Code L) Amount to be Paid Approved By �,CONWT J � CERT.# 657-00 FEE $25.00 DATE: 10/16/2000 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: 12 First Street UNIT #: N301 OWNER/AGENT: Pequot Associates ADDRESS: 12 First Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-4884 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 L65'.." � JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r $AGO DIT 5 v 3 � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tei. (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F R HUMAN HABITATION". 2 , PROPERTY LOCATED AT L t i r 54 �� _ CC k-wl UNIT#)-J30 1 IS THIS UNIT DESIGNATED AS RIGHT LEFT FON BACK PLEASE CIRCLE ONE OWNER/LESSERU 64 �-e f &J' C( l' CMANAGER/AGENT_6JT-N� IgCfA � No P.O. Box No P.O. Box / / / Ie ADDRES,S� r 1'/l S� �i ADDRESSb r9k7 ead I C sk CITY //e �!' Y� CITY uJ 1 RESIDENCE PHONE BUSINESS PHONE (24 HRS.)(4 BUSINESS PHONE v.- TOTAL NUMBER OF ROOMS: ROOM USE: 1..t,,Y.j,��,�m f12)ViN 77 , -4.bWIR 5.1d� 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 t U�fCI U v INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /D/h DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/ V_�•va DATE FEE PAID: TYPE OF UNIT: DWELLING f OTHER_ _ CHECK# /A . CHECK DAT NOTES: /\ � E � CODE ENFORCEMENT INSPECTOR 9/28/98 ° ® CERT.# 204-01 FEE $25.00 DATE: 05/01/2001 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: 12 First Street UNIT #: N-302 OWNER/AGENT: Peauot Hiahlands ADDRESS: 12 First Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-4884 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 DOOFHEALTH JOANNE SCOTT, MPH,RS,CHO (000 HEALTH AGENT CODE ENFORCEMENT INSPECTOR Apr-29-01 07 : 17P P.01 4 APR 29 -90 02. 55 P8 SALE" HEALTH •5807109705 CM ' APR3 0 CITCIT • Y OF SALEM CITY OF SALEIW BOARD OF HEALTH HEALTH DEPT. Salem,Massachusetts 01970-3928 JOANNE SCOrt,MPH-RS,CHO NINE NORTH STREEI HEALTH AGENT lel ow 741-1 BUD APPLICATION POA CERTIFICT.E OF FITNESS 10240-x205 IN ACCORDANCE WIT-11 STATE SANITARY:CODE, CHAPTER 11 , 105 Clot 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABIITA1TIOCN". Jt . \i C' DNIT F ' PROPP.RTv LOCATED AT ` �(,�Ut Y 1�- _ U l iy �__- _�,� oxe1ER/L65564 T � 1�r1¢� INY��I� MANAGER/ACEt+i �(1�1h_��Q U ADDRESS 12�J1 ADDRPSS!- , ,_L l CITY CITY __ 'RESIDENCE FHONE BUSINESS PRONE (I4 KRS ) RUSR tss PHONE _ TOTAL WMER OF ROOMS:_ ROOM USE: 1. z. II 5. 1_ THRRB IS A IWENTT- (7.5.00) DOFEE, PAYARIE BY CHEC[ OIL MOLT ORDER TO I= CITY OF SALEWK WLTHIPEPARTWI THIS PER IS PATABLR AT TIIg OF INSPECTION APPLICANTS SI6NA � INSPECTORS USP- ONLY DATE OF INITIAL INSPECTION:-.- O _ DATE OF REINSPECTION __- UATE OF ISSUANCE OF CERTMICATE:�-1_O/. ,,, _OAT,cCF-FEE PAID:__ l_C7� - TYPE OF UNIT: DWELLING OTHER, _--` - 5 —L � NOTES �OD1: ENFORCEMYNT INSPECTON -- CITY OF SALEM, NL),SSACHUSE`CTS + r ` BOARD OFHF\LTi i 120 WASHINGTON STREET,4""Fi..00R ]'va- {978)741-1800 KINIBIiRJ-EY DRISCOIJ, FAx (978) 745 0343 MAYOR DGRV1,N1iAUN1 n&AI.I ACf M DAVID Giu-IvNBAUM ACTING WAuni AGIi N,r CERTIFICATE OF FITNESS CERTIFICATE#263-09 DATE ISSUED:6/12/2009 Property Located at: 10 First Street UNIT#N-303 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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�OR1THE BOA OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CO E FORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OFFIFAL F]I120 W,\ShnNc'PON S'1'12R1•'P 4"'F1.c m Ti,a.. (978)741-1800 hIMBERLEY DRISCOLL Fns (978) 745-0343 1vb,Y0R srurrrts u;%mi CO'M JOANNE,SCOTF, 1-11•:A1-11 i AG ISN'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT Q YI I'6V S�1'.PO � SJpi/n HA 01` r)r) UNIT# 2 303 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE II OWNER/LESSER `NO P.O.BOX \� i` r��' MANAGER AGENT �PCvIY]P�� 11� ADDRESS Ia (1s5V S7re HA � /�rl ADDRESS I )1A, I CITY, STATE,ZIP S,�P m f 1' o lel y)c CITY, STATE, ZIP l_) jA / RESIDENCE PHONE K)IA BUSINESS PHONE(24HRS) gl)-S' BUSINESS PHONE q)% US—q%?4 TOTAL NUMBER OF ROOMS: `1 ROOM USE: ].�1 1Coc�1 2��,�CaeVi 3.(, u' no, 4:(Der)Vr6arw\ 5. 6. 7. 8. r 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISf PAYABLE AT THE TIME OF INSPECTION IS / APPLICANT'S SIGNATURE 4P-A fn/KO DATE /l Inspectors use only Date on initial inspection: Ta/O/� Date of reinspection: Date of issuance of certificate: t['ho1/&1 Date fee paid: (Vlla lob Type of unit: Dwelling Other Check#qq&q01aq Check date: .,'�IL o 9 Notes: nn �p � Code Enforcementnt ectol CITY OF SALEM, MASSACHUSETTS 0 BOARD OF HEAI:fH 120 WASHINGTON STREET,4'`FLOOR TEL. (978) 741-1800 I IMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENB UNI alSALPM.cOM DAVID GIii',j;NHAUNI,RS ACTING HISAI:TI f AGI?NT CERTIFICATE OF FITNESS CERTIFICATE # 162-11 DATE ISSUED: 5/20/2011 Property Located at: 12 First Street UNIT# N-306 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFHEALTH ,4 _) DAVID ��- GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS I s �✓ I " d.�l rho BUAKU CN;1-11::\l;l'1-1 120 W,\sl 111\1(1 CON S'1'Slte`nlaf8bF . ojc Peguot Highlands Tl,a.. (978)7�Ritel#00 0137 K MBERILEI'OR1SCOLL F1X-(978)7A00i$,�ceived s(,,,r(a)S,\I.1;?*ot13Rpe Order# Nl 11'Olt Batch# GL Code Ic'nNNI..SC(>'17', Amount to be Paid 1 I n;v:rl Acicn"1' Approved By Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." // FEE: $50.00 PROPERTY LOCATED AT-/.'2, r-t-51 Stfe {fY✓l f Af ,l /7 9'�� UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE / OWNER/LESSER ds MANAGER/AGENT NO P.O.BOX ADDRESS ADDRESS �— CITY, STATE,ZIP &Ale,,,O t M4 PM2/J CITY, STATE, ZIP r�— RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE I�Y— V S— 4 Fr TOTAL NUMBER OF ROOMS: ROOM USE: I.K/ fiiy4 2. IM4 dYr7 5 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OFF INSPECTION / / APPLICANT'S SIGNATURE�EP�.cGA l�1��a DATE T117-11( 12/ !/ J 7 Insnectors use only Date on initial inspection: S/o2OII Date of reinspection: da(j/1/ Date of issuance of certificate: r,^ /Date fee paid: Type of unit: Dwellin Other�_Check# -1 qp d oI�ly 7heck date: Notes: Code Efort ment Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HE.-\LTH 120 WASHINGTON STREET 41°FLOOR PublicHeattb Pr[vrn) Promule Prolecl TEL. (978) 741-1800 FAZ(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin(n salem.com L.\taty RAntutN,RS/RF.r-ts,Crro,c;p-rS MAYOR Hr:nt:rr r AcatN'r CERTIFICATE OF FITNESS CERTIFICATE#365-14 DATE ISSUED: 10/7/2014 Property Located at: 12 First Street UNIT#N-307 Owner/Agent: Pequot Highland Address: 12 First Street City/Town: Saelm, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of.Occupancy. FOR THE BOARD OF HEALTH LARR HEALTH AGENT SANITARIAN CITY OF SALEM, 1VLASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PublicHealth STREET, PPrul<cl TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdin0salern.0 IVMAYOR .Om L.-\Rtil'R:\bCUN,RS/RL:HS,CHQ Cl'-PS HEAL. Fi 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 /��\ M 1 PROPERTY LOCATED AT Z rl Yc- �" �G((Aim . � v Y \ n i&nD IS THIS UNIT ,DIISIGY`ATE'D AS RICHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 1?e-O\L&Pill V�� ajA nQ r MANAGER/AGENT �O� VI SSP.I I NO P.O. BOX �1 J, ADDRESS I l �r"1^ ADDRESS �e CITY, STATE,ZIP (/�J ` -)CITY, STATE,ZIP -1, I I L I RESIDENCE PHONE BUSINESS PHONEL(24HRSl "I I g / 5 ' Q BUSINESS PHONE TOTAL NUMBER OF ROOMS: �7 ROOM USE: 1. �_L 2. 3. �� 4. 2` 5. e) 6. 1-�V 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,YkYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PA AB T THE IE F LN PECTION / APPLICANT'S SIGNATURE // DATE `1 Inspectors use only Date on initial inspection: k0 T 1 l Date of reinspection: Date of issuance of certificate: f , 7' 1 Date fee paid: Type of unit: Dwelling Other Check# Check date: G� Notes: Site Name Pequot Highlands 0117 r Site# Date Received / Purchase Order# Code En orcem nt Inspector Batch# GL Code Amount to be Paid t Approved By CITY OF SALEM, MASSACHUSETTS m BOARD OF HEALTH j 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#354-07 DATE ISSUED: 8/1/2007 Property Located at: 12 First Street UNIT# N-311 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness Is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH { L L41- JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR JL, 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 0 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER Ik, 105 CMR 410,000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 12 Y i rc� r ,o � 1 to UNIT N 1 Ul�t"10 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE (� OWNER/LESSER\2c1_ �C5-\ 4-1=,r�,\�, 5_MANAGER/AGENT__, No P.O. Box V No P.O. Box ADDRESS 12 � _,_ADDRESS CITY Sc,1\.a., , 0 CITY RESIDENCE PHONE BUSINESS PHONE (24 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_S _ ROOM USE: t. a 2.1y q4w car .4.� THERE IS A TWENTY-FIVE(525.04) 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 ,CSS jNSPECTORS USE-0--N-LY DATE OF INITIAL INSPECTION 5 � 0 7 DATE OF REINSPECTION —_— DATE OF ISSUANCE OF CERTIFICATE.-I -O�'DATE FEE PAID: TYPE OF UNIT: DWELUNt-_OTHER__-_ CHECK #_//a-� _ CHECK DATE NOTES- CODE OTESCODE ENFORCEMENT INSPECTOR 9/28/98 • CITY OF SALEM, MASSACHUSETTS a BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR iDJONNE[ni SALEM.COM JANET DIONNE ACTING HGAI,'rl-1 AGENT CERTIFICATE OF FITNESS CERTIFICATE#455-08 DATE ISSUED: 9/11/2008 Property Located at: 12 First Street UNIT#N-312 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 AT DIONE c ACTING HEALTH AGENT COD FORCE INSPECTOR 3 � Z PYA CITY OF SALEM MASSACHUSETTS BOARD OI;HP.:V:I'H 120 WASHING ION Srxla r,4"'FLOOx TI_.7.. (978) 741-1800 ICMBERLEY DRISCOLL FAX (978) 745-0343 iVIAYOR Iscorr(ais\I.i m.COM JOANNE SCOTT, HE_\LXH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 1 PROPERTY LOCATEDATA—L--� UNIT9Nj-7-' IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BALK,PLEASE CIRCLE ONE OWNER/LESSER ��,U MANAGER/AGENT ,�_ -*Ikl-- NO P.O.BOX V 0 ADDRESS \Z ADDRESS ` 1� CITY, STATE,ZIP CITY, STATE, ZIP1 RESIDENCE PHONE \�l` lR BUSINESS PHONE BUSINESS PHONE Ll Q,l TOTAL NUMBER OF ROOMS: ROOM USE: 6. 7. 8. 9. 10. THERE IS A FIFTY ($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF APPLICANT'S SIGNATURE Y/L DATE IC U� a / Inspectors use only Date on initial inspection: ! III I o7 ? Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# /;L;z Y Check date: Notes: Cod rcement Inspector coxntx��, City of Salem, Massachusetts Board of Health m 120 Washington Street, 4th Floor, Salem, PublicHe8lth 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-17-372 DATE ISSUED: 10/3112017 Property Located at: 10 FIRST STREET UNIT#N401 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 CITE' OI S_�LE�I, L��S�CEIL'�ETT Bo\m of 120W.ASHINGIO'NS1R1:CC,4 FwoO, Tu-(97S;741-13't) KINDERLEY DRISCOLL (91 S) 7-45-03 43 NLAYOR N nrr�(-tS 1,rM.Cc)`I Jo-�`Nr Sco IT, HEALTH :k:ENT Application for Certificate of Fitness IN ACCORDANCE 1VITH STATE SANITARY CODE, CHAPTER 11, 105 MR 410.000 --MENINEUM SI'A`NDAF.DS OF FITNESS FOR.HUMAN KNBITATION" FEE::/aJ$5�0.00jA ' PROPERTY LOCATED AT ( Z Fl �/; cn t -a� UNIT= IS THIS LITT DISIG`ATED.AS kIGHT LEFT FROM-T ORB A CK,PLEASE CIRCLE O.NE OWNER!LESSER �P�,f i �iir - a lP Wt- G -NLANAGERI AGENT TUCU) FAQ -C,0 NO P.O.BOY ADDRESS 1 -L S ADDRESS Sc(,Uf 2 CIT `,STATE, ZIP`( UjA { M A U 1 �7U CITY,STATE, RESIDENCEPHONE�.t I - BUSDNESSPHONE(2-IHRS) Vt G -�t-i ^-L4 LA BUSFNESS PHONE TOTAL NUNtBER OF ROOMS: L4 ROOM USE: 1- 1� � 2. 3. V1<1L1 4. f CkvvL1 5, 6. 7 — ---S- — 9. 10, THERE IS A FIFTH`(330) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITE"OF SALF,%l BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TD,[E OF INSPECTION APPLICANT'S SIGNATURE DATE Insoectors use only Da-,-on ia:t:a: t.^.3peet:on: Date of Ceinspec`loa: Dare of is3vance of ceriftcate: Dat:fee pa:-J: Tape of wait: D.4et'.:rs Other CF.eck Check date: Nto*�S: Code Enforcement Inspector co " City of Salem, Massachusetts IN - V Board of Health � . On � 120 Washington Street, 4th Floor, Salem, PublicrtFIe MA 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#: GHL-1674 DATE ISSUED: 3/4/2016 Property Located at: 12 FIRST STREET UNIT#N402 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(976)745-4664 Pursuant to the requirements of City of Salem ordinance Chapter 2 Artide 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 Y7/ Larry Ramdin, MPH, RENS, CHO SANITARIAM1f HEALTH AGENT a� ,t s � • t l CITY OF SALEM, NZASSAMUSETTS V BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PabI2CRealth romole.Protect TEL. (978)741-1800 FAx(978)745-0343 I IMBERLEY DRISCOLL Iramdinrsalem.com MAYORLARRYRrll@iN,R4JREIiS,CE t0, HBALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 `iMff MUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $50.00 �p I rn i / (� y� ,{ l N'fp2. PROPERTY LOCATED AT ! � �~I 'rs � & - 1 `+ _ �� .`� ' r t II�IPVIT# IS THIS UNIT 1D'ISIGN atTED AS RIGHT LEFT FRONT OR RAM PLEASE CIRCLE ONE O�VNF,.R/LESSER TP�w� c� O C.1 MS riIANAGER/AGENT 3C ar\ r` SGeA NO P.O. BOX ADDRESS , ?_-FYl ,Ci _ ADDRESS <'CL''Y\ CITY,STATEZIF JaIo f P AAA A 0 R 70 CITY,STATE,ZIP step— RESIDENCE PHONE q"� g' �45 - Lt b LL BUSINESS PHO`+-E(24HRS) L � BUSINESS PHONE C�AAIIV%k TOTAL N'LTI iBER OF ROOMS: q Qn �7 ROOM USE: t. KIT 2. L--C 3. 6Z( 4. + )R L.� 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 PAYA*E AT THE TIME OF Iii ISPECTION APPLICANT'S SIGNATURE / DATE !/ Inspectors use only Date on initial inspection: OV25-/20,$6 Date of reinspection: Date of issuance of certificate: 2 % Date fee paid: W29/� Type of unit: Dwelling Other Check#t7C10 ._,Check date: 0? Notes: 7i-I�5L'f - J'i? IVc^^.'d t'cv�ut niyitauia Site 9 DG:a Race (ed d2�/ PUrohasc Qfdcf C e cement pector Batch"? GL CodeAmou Apprcn4 d to Paid ^(`� ,��rovad By City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Puth epND 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-16339 DATE ISSUED: 9/6/2016 Property Located at: 12 FIRST STREET UNIT#N-403 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. I J re sy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PublicHealth STREET, Prevent Promote Protect TEL. (978) 741-1800 FAx(978)745-0343 Iii IBERLEY DRISCOLL 1rarndin0,salern.corn MAYOR Lr\RRY RAbIDIN,ILti/ItL;FIS,CHO,Cl'-FS HEAi:r-t 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" 11 cl FEE: ,$,50.00 (�1 PROPERTY LOCATED AT 2 rST c7►1 C X M r IM I�} CTI 7 D 1JNIT# IS THIS UNIT DISIG1NATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER 79 W� Y k MAds MANAGER/AGENT NO P.O. BOX 1 1 ADDRESS ' (�Y� ^ ADDRESS CITY, STATE,ZIP Sa Ce 1 , /A^u V T o 1017D CITY, STATE,ZIP s � RESIDENCE PHONE C1 7 o' WS ' 4Aa04 BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: II � f� f Q ROOM USE: 1. Vi � 2. l2, 3. f.)� l 4. I�/v—Z 5. 6. ` 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY AT THE TWE OF INSPECTION / Q / APPLICANT'S SIGNATURE / � DATE / Insuectors use only Date on initial inspection: Oilnj 1201.4 Date of reinspection: Date of issuance of certificate;)0 M0 Z4W11-,(0 Date fee paid:Npf/20-44 Type of unit: Dwelling---�,/ Other Check#gg2,lazq� 'heck date: Notes: Site# Date Received ^� Purchase Order# I Zt 7U�� CA aforceme pector Batch# GL Code U 6—Cl D Amount to`be Paid IS- 6 — Approved 6 —Approved By __—W-4k CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUMna SAI.r•:M.COM DAVID GRLF.NBAUDI ACTING HI?N.;PI-I AGIbN"1' CERTIFICATE OF FITNESS CERTIFICATE#301-10 DATE ISSUED:6/18/2010 Property Located at: 12 First Street UNIT# N-405 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 D / V4RiUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ;. c8 BoARD or HFAI'It I �� V 120WAsI-nNa'roNS'ritia.r 4...ROM T,:1.. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR CON1 JOANNEE Scun', HEAL'nT A(;IaNr 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 I'i i C�� I eq � , �X�t' rn ��f t G1�1�C� UNIT# ti-y0S IS THIS UNIT DIIS/IGNApTED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE I OWNER/LESSER �PGI_c �r� Y7 `�V1Ian��S MANAGER/AGENT NO P.O.BOX 7 II r\\1 ADDRESS 1 ,21 Fi�� `�Tr'PQ� ADDRESS T SU 1 CITY, STATE,ZIP �P_/Yl C� 19 6 CITY, STATE,ZIP I RESIDENCE PHONE ) A BUSINESS PHONE(24HRS)_ L/1k�SL/ BUSINESS PHONE TOTAL NUMBER OF IROfOMS: S ROOM USE: 1. )A. tC L�626. .Liv i vn $� 9&A 4�P-J_ ;�� 0. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THETIMEO NSPECTION APPLICANT'S SIGNATURE P /Y1/1( � _ J I) /DATE C o V//(D Inspectors use only Date on initial inspection: \0 V 0 Date of reinspection: // Date of issuance of certificate: - (!� �[K/to Date fee paid: U I/(j//U Type of unit: Dwelling�Other Check# q 03 0 SSS I Check date: " li0/l U Notes: Code Enforcement Inspector I _ 9 CITY OF SALEM, MASSACHUSETTS BOARD OF HIiALTH putblicHealth 1-20 WASHINGTON STREET,4 (FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 _ KIMBERLEYDRISCOLL ixamdin(p)salem.com L,\RRI'R.\ (DIN,RS/RR,I-IS,CII('7,CP-FS NLWOR I ti.Ai;1*H AGENT CERTIFICATE OF FITNESS CERTIFICATE#469-14 DATE ISSUED: 12/19/2014 Property Dated at: 12 First Street UNIT#N-407 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificat° of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR MDIN HEALTH AGENT SANITARIAN CITY OF SALEM MASSACHUSETTS Bo.\RD OF HEALTH 120 WASHINGTON STREET 4"`FLOOR PublicHealth STREET, Prevent.Promote Protect TEL. (978) 741-1800 FAX(978)745-0343 I IMBERLEY DRISCOLL lramdinna.salem.com MAYOR LARItl'Rr\ IDN,RS/RENCl S,C {O,(;l'-PS HE'r1L'IH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.010' PROPERTY LOCATED AT L �S�- �1/V 1 V ©\9-T0 I T# IS THIS UNIT DISIGNA�C-R&S-MANAGER/AGENT TED AS RIGHT LEFT FRONT'OR BACK,PLEASE CIRCLE ONE WONER/LESSER 7�W� 300.11 '�'ASst�l NO P.O. BOX -_ 1 ADDRESS L�_ Y`I ,t5� q n �7 � ADDRESS < GO.Y A Q CITY, STATE,ZIP I7CJI ► , I /V V T 0 try l /D CITY, STATE, ZIP sk RESIDENCE PHONE01—I K �45 ' 4A a L� BUSINESS PHONE(24HRS) SIL✓A-A- BUSINESS PHONE � - TOTAL NUMBER OtF�ROOMS: ROOM USE: 1. 1�1� 2. 3. �C�� 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: J '2-) q- 'l Date of reinspection: Date of issuance of certificate: )2-A-11 Date fee paid: Type of unit: Dwelling-L,�Other Check# Check date: 1 Liq Sq Notes: J r Site Name Pequot Highlands Date Received Purchase Order# Batch# Code E46rcement Inspector GL Code Amount to be Paid U Approved By } CITY OF SALEM, MASSACHUSE fS &)MRD OF HE\LTEI 120WASHINGTON STREIN,4F1,00R TuL. (978) 741-1800 ICIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR x;lt Icr•.�[s:\utsla�snuat.c,c>rol DAVID GRUNBAUM ACY Nc f1FAL'I-I AGENT' CERTIFICATE OF FITNESS CERTIFICATE#358-10 DATE ISSUED:7/30/2010 Property Located at: 12 First Street UNIT#N-408 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745.4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH ALM ACTING HEALTH AGENT CODE ENF EMENT INSPECTOR S . CITY OF SALEM MASSACHUSETTS v ;IEB � l- ?` - Bo um OF 1-11:;\]:1'1-I 120 WAST IING'I'ON S I lwll I' 4°1 T1.;L. (978) 741-1800 KIM13ER1.l-Y DRISCOLL. FAx (978) 745-0343 MAYOR Sm *1,r�U-&\LF\i COM )O:WNIE SCOTT, I-IP.:\1:1'11 AGL!N'1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." L FEE: $50.00 Sl PROPERTY LOCATED AT I Y i rS� ru-v aJefl--� UNIT4— IS THIS UNIT DISIGNATIED AS\RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER�P�l-c )r-T 0 : CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 7CCOTIQSALEM.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#330-08 DATE ISSUED: 7/29/2008 Property Located at: 12 First Street UNIT# N-409 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD2: � A 11A7N`E'1C.TT, MPH, RS, CHO HEALTH AGENT C OR E ENrINSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR lsccrrrONALRIM.COM JOANNE SCOTT, HEATH 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: 5 6650,06 Oq N � PROPERTY LACATED AT 1,i UNIT# IS THIS UNIT DIS`IGNA`TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER-- MANAGER/AGENT c 1oGSI NO P.O. BOX ADDRESS ADDRESS CITY,STATE,ZIP 8t;� OATO CITY,STATE,ZIP_ S .. ,d/- RESIDENCE PHONE ,u I(- BUSINESS PHONE (24HRS) -tJ lPt— BUSINESS PHONE 97&-7L15-450t4 TOTAL NUMBER OF ROOMS: :<� p ROOM USE: 1. 2.Vi OvAo 3. 2�L�vw 4K3P�w, 5 &A(40A,. 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 THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE- O7Q� _ _ DATE p Insuectors use only �{ Date on initial inspection: I Zq 1 I O Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unite yelling Other Check# aV I Check date: I/ q ld Notes:Nv t'zh 1+hY� QUj.A�, 1 h Inidl.l - -1v / (vie not I 0 Omml) >z,�t SAC 1W� �QQ1Clnf/I ,�JbV'6 jD aA) hnk �OP �nyntlrya YUfI(1IL1 r /(, _, jr.� Wln�jdto, � Wcicln9 P"' eot�, I 9 Alk D 0 Coe rcement Inspector • �` CTIY OF SALEM, MASSACHUSETTS � a BOARD OF HFzALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 HIMBERLEY DRISCOLL F X(978) 745-0343 MAYOR ism rFaW.P.M.COM JO ANNE 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 ` 1 � Address on unit to be inspected Date ` ND " h M l City of Salem, Massachusetts { . �. Board of Health �O " 120 Washington Street,-4th Floor, Salem, PubliCHealth MA 01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-475 DATE ISSUED: 11/30/2016 Property Located at: 12 FIRST STREET UNIT#N-410 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. Jeff y Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN n2K j. (�TTVFC TF� _NLCC.4 N C 5 BmRD of HLALT-ri 120 Ci".�S1nNGTON ST=,4r FLOOR PublicHealth TEL. (978) 741-1500 FAS(978)743-0343 KLNdBERLEY DRISCOLL lramdin(2.salem.com Lvm'R.V%DIN,RS/RENS,CHO,Cl'-NS `PAYOR HEALTH AG12NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NII ]INMT STANDARDS OF FITNESS FOR HUivLAli`I HABITATION"' FLEE: $50.00 ` PROPERTY LOCATED AT �I" IfYS� S l UST; Iy—LI�� _ IS THIS L NIT DISIGYA 1TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE M�ti'ER/LESSER lO �\C�ndS bLANAGER/AGENT �VCCr\ " uSS(�A NO P.O. BOX 1 VVV ADDRESS ` e? --FVln4-L MA n I/� -7 ADDRESS SGLw�Q CITY,STATE, ZIP `:k7ew , /1/t/''�10 101 /D CITY, STATE,ZIP RESIDENCE PHONE q ! g' �45 - �t b LL .BUSD4ESS PHONE(24HRS) SQ M-J, BUSINESS PHONE p TOTAL NUMBER rOF ROOOMS: TT � —1 �I Q ROOUSE: 1. �"1 2. L1` 3. 4. 6Q, 5. 6. 7. S. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR NIONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE MIE OF LNSPECTION APPLICAN"T"S SIGNATURE TATE qq ¢IJ Inspectors use only Date on initial inspection: l.. Zq//X� Date of reinspection: Date of issuance of certificate: rLlrJ/Z�� Date fee paid: r� Type of unit: DwellinB�Other Check#Check date: Notes: Site Name P2a,uot Nicht nds DO--Received Pu'chaseOrd2r# Ba,c'n 0 0 orcement ector GL Cod Arnount to be Paid Appioved Byf- `oND'T"�° City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth Prevent. Promote. Protect MA 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 #: GHL-15-281 DATE ISSUED: 9/11/2015 Property Located at: 12 FIRST STREET UNIT#N411 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 Wth 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore this Certificate is issued b the Code Enforcement Division of the Salem Board f Health n h unit m now y oadoand e t ay o 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 -7 / HEALTH AGENT NITARIAN j R) CITY OF SALEM;TVL�SSACHUSETTS I t Bo tRD or HE..u., F, rr 120 YC'AsI TINGTON 3TaI>r:r;4T`'FY,00R TEJ- (973) 741-1800 KIMBERLEYDRISCOLL (973; 745-0343 NLAYOR ierrr170s k.i Fit.COM �O NNE 3C07T, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE. CHAPTER 11. 105 CMR 410.000 "MINIMUNI STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE:: $5,0,00 PROPERTY LOCATED ATI Z ✓3 ,{' JU.�X.V►� NVl7�"I U L vlim N i IS THIS UNIF DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLE.A^-SEE CIIRC��L�"L^ ONE + / OWNEPULESSER U �.�_—MANAGER,'AGENT ._x.C.t./}�1 plossk l l NO P.O.BOX ��jj ADDRESS G- C 1 S t ADDRESS Com! !1 Q CITY, STATE,ZIP �4 W_0070 CITY, STATE; ZIP � Q RESIDENCE PITONEBUSINESS PHONE(24HRS) BUSINESS PHONE �6* - C07 /440p t4 TOTAL NUMBER OF ROOMS: L'1 ROOMUSG: 1. V17 2. L-e— 1 R DQ� 4. 6. 7. 8. 9. 10. 1 HERE ISA FIFTY(550)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF 5ALEi\. BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE D - - DATED //,3// 5� Inst}ectors use on'v Date on initial inspection: ORI1312-615- Date of reinspection: Date of issuance of cenificaie: LS` Date fee paid:09It0$/20j S i y pe of unit: Dwelling OCheck t`j9211351 Check da.e: 09/02/20-4r Note;: -� Jrte Name i Sea to Pequo ghlar(ds Date Received 0137, Purchase Order# �. Batch# Codar ment Ins ctor GL Code g, v Amount to be paid Approved By ` f R e` CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH " - 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#129.08 DATE ISSUED:3/13/2008 Property Located at: 10 First Street UNIT#N-501 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 q `' 4t06'e- JOANNE SCOTT, MPH, RS, CHO Zane.-- HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH I* r 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor 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 `7 s UN!? #��.1-`�Z�� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER T�4 � - uiC�� 5 MANAGER/AGE NT No P.O. Box v O No P.O. Box ADDRESSj22Eti'y�� v�- -QQ ADDRESS T- \\� CITY y � VVA--o\c'1C� CITY \1a,- RESIDENCE PHONE-I __-tA-&-7--_BUSII,N/ESS PHONE (24 HRS)(-or1?'\�1 BUSINESS TOTAL NUMBER OF ROOMS ROOM USE: THERE IS A TWENTY-FIVE (525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUREe4�� 1�, szngrc 2� 4NSPECTORS '.JSEONLY `t DATE OE=1UITikL :S_EC:TQN -'i-V o H DAiF !)F HEINSRFCT!UN DATE OF ISSUANCE OF CFP?!FICATE 3-1 3 ° DATE FEE PAIC / 116 T{PE C%F 'JN!' r1VcE1'�_IPJC�j G 1 rEP. !;i-IE..;� :. JuECK UA? NOTES Ci i CITY OF SALEM, MASSACHUSETTS • + BOARD OF HEALTH 120 WASHINGTON STREET,4`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAR(978) 745-0343 MAYOR DGRUNBAUMOSALI°.M.COM DAVID GRI{I_.NBAUM ACTING HEALTH AGRNP CERTIFICATE OF FITNESS CERTIFICATE#659-09 DATE ISSUED: 12/30/2009 Property Located at: 12 First Street UNIT#N-502 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DAVID GREENBAbM ACTING HEALTH AGENT CODE ENdEMENT INSPECTOR 9 CITY OF SALEM, MASSACHUSETTS �t= mei 130ARU or HI?Al;it-I 120WAslliNcrclNS'rltia:r 4...FLooR Ti:],. (978)741-1800 KRvIBERLEY DRISCOLL FAX (978) 745-0343 MAYOR isarrr(Ws,v. NI COM JOANNE SCOTT, HEALI'I1 A(;EN7' 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: $50.001 } n PROPERTY LOCATED AT JQ /'I F'St 41(� �ee1PJvYl I 1 A rnG�n i NIT#kJ r IS THIS UNIT D1I\SIGN IATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE L ONER/LESSER WPS )�� F1iC4V�Ic�11�cJ MANAGER/AGENT�PC� Ilt 1 e 1�1 1P_. ADDRESS fS� S�r� U ADDRESS - 1A CITY, STATE,ZIP GC �.41Y (� 1 \� �� CITY, STATE,ZIP %J A /llc� RESIDENCE PHONE ( n�y hJ lI BUSINESS PHONE(24HRSl �� ` �c�� `lg<( 1 BUSINESS PHONE TOTAL NUMBER ,,//OF11ROOMS: ROOM USE: 6.f1( AIV1 2.L(�In� 3. 8. 9. X10 PC).1 DC7 Y1 THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE T INSPECTION APPLICANT'S SIGNATURE Ax-t� �IDATE Inspectors use only Date on initial inspection: la I 6 Date of reinspection- Date Date of issuance of certificate: R 3 610 Date fee paid: Jo) ho l0 Type of unit: Dwelling_ Other Check# 9%OV W Check date: 1;0111o ? Notes: Code E r ement Inspector UNITED STATES POSTAL SERVICE First-Class Mail USPS Pertni9 No.G-10 Paid I • Sender: Please print your name, address, and ZIP+4 in this box • i I City of Salem ` n Board of Health f 120 Washington Street 4th Floor '.r f Salem, MA 01970 � ' I IIIIIIilllllll11l,11llit itilliIJIIIIIIIiI1111111111 AIIIIII ■ Complete items 1,2,and 3.Also complete A. SI ature "' wwM Item 4 if Restricted Delivery is desired. X Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Dto of 9elivery ■ Attach this card to the back of the mailpiece, JQG VI rtu Sk or on the front if space permits. _ D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No Pequot Highlands 12 First Street Salem, %?1A 01970 3. Service Type f]Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) El Yes 2. Article Number I 7008 1140 0004 0941 1945 M I (trans/er from service lobed rPS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 �U.S. Postal Service CERTiFIED MAIL.. RECEIPT liLn (Domestic Mail Only;No Insurance Coverage Provided) D- OFFICIAL USE D" Postage I$ 0 S Derltll dFee M Retum Receipt Fee Possnark OO (Endoreemem re Required) He Resalctee Delivery Fee O (Entloreement Required) 7 r1 Total Postage 8 Fees ,$ rR CO Sent To M �Srfreef,MtfJo.:...................................................................... r, or Po Box No. ......................................................................................... C/ty,Siete,ZIPW �i8�lu5ii ::atayddllll,ulllluVlYdIIII Vc:aiias'16Jp•'I'I" •' , Certified Mail Provides: ■ A mailing receipt - ■ A unique identifier for your mailpiece IN A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mails or Priority Maile. ■ Certified Mail is notavailable for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. • For an additional fee,a Ratum ReceiFt may be requested to provide proof of delivery,To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse maiipiece"Return Receipt Requested'.To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Rastrtcted DeWery" ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt Is not needed,detach and affix label with postage and mail. IMPORTANT.,Save this receipt and present it when making an Inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-0009097 CITY OF SALEM, MASSACHUSETTS BOARD OF HE.\LTH 120 WASHINGTON STRErf,4"FLOOR TEL. (978)741-1800 KIMBF,RLEY DRISCOLL FAX(978)745-0343 MAYOR INIANCINQSAMN+.com J ANF,i'IYIANC1N 1 ACTING HEALTH AGF,N'I' February 24, 2009 Pequot Highlands 12 First Street Salem, MA 01970 To Whom It May Concern: The checks received on February 11, 2009 for Certificates of Fitness for units N505, N1012 and S307 in the amount of$50.00 each are being returned to you because they are dated 1214/08 and the City of Salem can not deposit checks that are more than 60 days old. The check numbers on these checks are 99203658, 99203659 and 99203660. Please issue new checks totaling $150.00 dollars for the inspections on the above referenced apartments. Thank you. For the Board of Health qftetancN Acting Health Agent CERTIFIED MAIL: 70081140 0004 0941 1945 PequotHighlands Bank of America Check Number 99203658 12 First Street Hartford,CT Salem,MA 01970 51-44118 Date Amount 12/04/2008 $50.00****** Void After 180 Days Two Signatures Required PAY **** FIFTY AND 00/100 DOLLARS TO THE CITY OFSALEM ORDER OF DEPT OF PUBLIC SERVICES 1 SALEM GREEN SALEM, MA 01970 MP i'099203658u' 1:0 1 190044 5': 56i95u' xr.i� um.Il�llq:l;q.V.r:Al:YIRo14UaA,F,n1.Idq:UI,IiU►.I: :LIIYa1Jn.......;:�I:I�:ralq.V_UIlIIFlIhq.14MA1q.' 'L':61:�MN1�-1:UU.Y'fl.Yt;a;,lala.IIb':UIM,I:Ytld:�d:IHNe1.�''lld4isaY9• Pequot Highlands Bank of America Check Number 99203659 Hartford,CT 12 First Street Salem,MA 01970 51-44118 Date Amount 12/04/2008 $50.00****** Void After 180 Days Two Signatures Required PAY **** FIFTY AND 00/100 DOLLARS TO THE CITY OF SALEM ORDER OF DEPT OF PUBLIC SERVICES 1 SALEM GREEN SALEM, MA 01970 MP II'099203659u' 1:0 1 190044 5': 5619511' n.iaia-rga.lae..... I�.Yg.idd.e.Y_r.Y_�flgiga;rl:rigltn:4.ur,7,►nte;r:neap_1_a:eea9:L1g.19r1tivui�g.laa.amd;eerer:Yaa�d.m_.r:n�.air:u::a,rer.l�.rabM_rr_1;CI,Id��e.r91 'w�r'� ; Pequot Highlands Bank ofAmenca Check Number 99203660 12 First Street Hartford,CT Salem,MA 01970 51.44/119 Date Amount 12/04/2008 $50.00****** Void After 180 Days Two Signatures Required PAY **** FIFTY AND 00/100 DOLLARS TO THE CITY OF SALEM �� ni,�� -� ORDER OF DEPT OF PUBLIC SERVICES 1 SALEM GREEN SALEM, MA 01970 MP ...noo3n3rrn.,■ rani IOnnr_ti. co- Cr 1000 CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 I IMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR INIANCINIONALENI.CUM JANL;I'MANCINI ACTING HFAL'n-I AGr.N,r CERTIFICATE OF FITNESS CERTIFICATE# 150-09 DATE ISSUED: 3/26/2009 Property Located at: 12 First Street UNIT#N-505 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 ANET MANCINI i'L(i�'/1//l, ACTING HEALTH AGENT CODE E&OREMEN NSPECTOR 3 $ CITY OF SALEM, MASSACHUSETTS BOARD orHis,v:n-i 120 WASI IING'I'ON S'ntrr;r 4"'FLOOR (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR iSCOrr(alSALFINI.C01\1 JOANNE SCO'1T, Hj.;A PliAcrN'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �FJEE: $50.00 y� PROPERTY LOCATED AT a )'1f-J S�r.PdX S(,JcM� 0 1n/� (')lelF)b UN[T# lJ SUj IS THIS UNIT 1D11SIGNATtED AS RIGHT LEFT FRONT OR BACK'PLEASE CIRCLE ONE W ONER/LESSER -6,vC-))� 1 \ \c s V 0( 5 MANAGER/AGENT ( \PKKn n P P NO P.O.BOX ^ { 1 1 ADDRESS q (� ADDRESS CITY, STATE,ZIP )rAP nr) C\C1))C) CITY, STATE,ZIP RESIDENCE PHONE q A,)IA- �7 ( BUSINESS PHONE(24HRS) CV) ' T-)u6 (-/'Xn0� BUSINESS PHONE q"))�- 0 TOTAL NUMBER OF ROOMS: S ROOMUSE: I. ,''VOLQV\ 2. Lml(��{ 3 ZAVC(Y04�i?r)(1x�M 5�r',I'W(Y) 6. 7. J 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATTHETIME OF INSPECTION APPLICANT'S SIGNATURE QQi_1AZ4UL ` ,LA DATE_ Inspectors use only Date on initial inspection: 2 - I-L- 69 Date of reinspection: Date of issuance of certificate: 1%.-12, oq Date fee paid: Type of unit: Dwelling L' Other Check#__Check dater S� 2.b-09 W zdt.>0l Notes: *\'� i de Enforcement Inspector u CITY OF SALEM, Mt1SSACHUSEI"TS BOARD OF Hrai,m Public$eaithI. 7 WASHINGTON SfREFT4"'FLooR 'CFL.. (978)741-1800 FAA(978)745-0343 KIMBERLEY DRISCOLL lramdinnsalcm.com LdttR1'R.VNilltti,R5/R11 IS,t;i 10,CP-i+ti MAYOR I I It,U:Ci-I AG FN I CERTIFICATE OF FITNESS CERTIFICATE#385-14 DATE ISSUED: 10/30/2014 Property Located at: 12 First Street UNIT#N-506 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 BO RD OF ALTH 4f�J, 4 AV16C)LWA LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, IVLASSACHUSETTS 3 BOARD OF HEALTH 120 WASHINGTON STREET 4n`FLOOR PublicHealth STREET, Prevent Promote Platlet. TEL. (978) 741-1800 FA1(978)745-0343 I IMBERLEY DRISCOLL lramdin(a.salem.com MAYOR LARRY lir\btll[N,ILti/KEPIS,CHO,(:P-PS HEALTFI AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" -�� FEE: $501.0,,0 PROPERTY LOCATED AT �- r 1 � SGL IY Y11 � 01-24 UNIT# IS THIS UNIT DISIGNA1TED AS RIGHT LEFT FRONT OR BACK,PLEASE(CIRCLE ONE OWNEWLESSER 79 W� ki l U YVA S MANAGER/AGENT 36a r\ p�tA SSe,I C NO P.O.BOX l l��IIIJJJJII ADDRESS `�_ I,,,-,S1 AAA /� -7 ADDRESS 45: '-A Q CITY, STATE,ZIP SCL /5 ' 1 I A V,I1�9D�-1 /0 CITY, STATE,ZIP SAA-V 2 RESIDENCE PHONE q 19' �45 ' 'A a0L� BUSINESS PHONE (241IRS) ✓�� BUSINESS PHONE TOTAL NUMBER IOF ROOMS: 1-4 ROOM USE: 1. 2. LR 3. 1�� ( 4. 64�Z2 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 PWLT TlIIE OF INAPPLICANT'S SIGNATURE /2 DATE 9 Insvectors use only Date on initial inspection: V,) o/14 Date of reinspection: , / , Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: L�qS� €its N2 = pe ^'Hlq-hlla ds Site# /0137' Date Received —� Purchase Order# Co cement Inspector Batch# GL Code Amount to be Paid Approved By j Cof Salem, MassachusettsBoard of Health �,�� , �Q��u�.120 Washington Street, 4th Floor, Salem,MA 01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-471 DATE ISSUED: 11/30/2016 Property Located at: 12 FIRST STREET UNIT#N-507 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. P—-2r� &�IWLO,/ Larry Ramdin, MPH, REHS, CHO / v HEALTH AGENT SANITARIAN CITY OF SALEM A'LASS ACHUSETT10 S Bo.\RD OF HE.\LTH 120 WASHINGTON STREET,4"FLOOR PublicHeaId, Prevent.Promote Protm[. TEL. (978) 741-1800 FAX(978)745-0343 ILNIBERLEYDRISCOLL Iramdin(a_ salem.com NL�YOR L[\RI2I'R,\MNIN,ILS/REFI,CHO,CI'-PS HEALTFI AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "vIININIUM STANDARDS OF FITNESS FOR HUMAN HABITATION FEE: $50.00 PROPERTY LOCATED AT l S� UNIT# N IS THIS UNIT DISIGNA1TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE O`Wi ER/LESSER ��l 0 ` Y�\C)11�5 MANAGER/AGENT NO P.O.BOX Jr ADDRESS ' _ Yost �� ADDRESS SGLI'Y�Q CITY STATE ZIP ,a�M t MA O 10170 CITY STATE ZIP Sa A RESIDENCE PHONE qT g' 745 ' ZA a0L� BUSINESS PHONT E (24HRS) � ✓�`� BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1.- vt �— 2. 3. V�>'�Z— 4. 91>2 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT T'S SIGNATURE DATE p Insrectors use only p Date on initial inspection: 1L I_/)-0—t Date of reinspection: Date of issuance of certificate: q ® Date fee paid: Type of unit: Dwellingg--V/ Other Check# 9 to Check date: / Notes: SFE i�£i;pa _ Pa-;i!nt N�nhlandS 0137 Egf�rcement]a�spector ' --��a( � _U� ooum�to be Pair, + co � City of Salem, Massachusetts Board of Health w 120 Washington Street, 4th Floor, Salem, PtilblliCIitelttthfskm i Prevogt. Promote protect. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.433 DATE ISSUED: 11/7/2016 Property Located at: 12 FIRST STREET UNIT#N508 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter It"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. EGagakis Larry Ramdin, MPH, RENS, CHO SANITARIAN HEALTH AGENT 4 /. CITY OF SALEM, '-'\'f ACcACNUSE.TTS BO.kRD OF HE--=H IV 120 WASHINGTON STREET,47-FLOOR PUblicHealth TEL. (978) 741-1800 FA,1(978)743-0343 K-IMBERLEY DRISCOLL Iramdin0,salem.com VLIYOA Luun'RxmDN,Rs/ACRS,tiro,ci-rs HE.�LTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "ivININfUM STANDARDS OF FITNESS FOR HU?vLANT HABITATION" FEE: $50.00 PROPERTY LOCATED AT P 2 F'614-- UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE O'VViVER/LESSER 79 L,0 C \\�'1�,(J-M S MANAGER/AGENT 30a i1 �t1�SSS NO P.O.BOX VVV�VV7 ADDRESS SA- MA n I -7 ADDRESS Ca lin Q CITY, STATE,ZP SA.�PJI'Yl r / /V''T1 O�iI /D CITY, STATE,ZIP s � RESIDENCE PHONE q T g' �45 - � b0L1 BUSD ESS PHovE (24HRS) BUSLN-ESS P14ONE Q-4uyy\-L TOTAL NUMBER OF ROOMS: `7 I- � l>!Lf cll{Q,y @c,,)iv161 G9r Gb)1�1 ROOM USE: 1. Vt 2. (,12- 3. I��i,,� 4. Val CVVn 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TLVIE OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: b ir a'] I ICS Date of reinspection: r Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: F Site Name LA Poe of Hichlaridssl Site* - 0157 Date Received (��l i -i ib CUica Purchase Order s -�33 Batch r` 6 Code Enfo ce nt In>spector GL Cod- (2 L l(3 (JESCT� Amount to be Paid Approved By E ! CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4`"FLOOR PtibilCHC81t$ STREET, Prevent Promote Protect TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin asalem.com - LARRY R,\MD1N,RS/RGI IS,CI K),(:P-1+S MAYOR Hum:CIIAGI?Nr - CERTIFICATE OF FITNESS CERTIFICATE#64-14 DATE ISSUED:2/27/2014 Property Located at: 12 First Street UNIT#N-511 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. ^FORTHD OH LARRY RAMDIN HEALTH AGENT SANITARIAN CI'i"I' OF SALEM, IYLASS-?CNUSE"t"I'S BOARD OF HEALTH 120 W ASH1NGrON STREET,4"'FLOOR PublicHeaith Pr[ven[.Pro�nm Pmt[ct TEi.. (978)741-1800 FAX(978)745-0343 K34BERLPY DRISCOLL lramdin0salem.com MAYOR L,aRY RANMIN,RSS/IGFIS,CHO,Cr-i'S Hr,it,TFI AGtuwr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SAINITARY CODE, CHAPTER 11, 105 CibIR 410.000 "NMNIMUMT STANDARDS OF FITNESS FOR HL1112AN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �2�( } �j� . �4 ' S ( f t 5 'U/fn , IN1T# IS THIS �UNIT D(IISIGNIAT(ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE t( OWNER/LESSER �Q VC}T ttl l�v�\ (j r t�Q � MANAGER/AGEIv T UCY1 F�-t�(_KA eA NO P.O.BOXL J ADDRESS {j rS f � ADDRESS 12 c`!�� Sj I CITY, STATE,ZIP Sc /)—z' Y'}'1 - 11 1p\ C) /�-t 7 u CITY, STATE,ZIP q RESIDENCE PHONE BUSINESS PHONE (24HRS) t 7 " ?qS (R�N B USL-ES S PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 1 L-f-, _ 4. 5. 6. 7. 8. 9, 10. THERE IS A FIFTY(550)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEI AYABLE/AATTTTTHE TWE OF INSPECTION APPLICAN'T'S SIGNATURE JA / 7�{�. I _. DATE 7//2 ?P h , C Insnectors use only Date on initial inspection: a��/ 1� T Date of reinsuection: Date of issuance of certificate: n ,q Date fee paid: j, Type of unit: Dwelling Other Check g q% .i�Check date:—aw Notes: S9 i Site(Name Peq.,ot Niahiands Fite f 01?7 Date Received I1-f Purchase Order# l 1-21 9LLI 0. Batch# Code rcient Iztspector GL Code °t 2 Amount to be Paid 15110. O-Z) Approved By CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4..FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAx(978)7450343 MAYOR 1X;RV1:N11AUMQatiAjj-,' COM DAVID GRGENBAUM ACTING HF.AL•11I AGENT CERTIFICATE OF FITNESS CERTIFICATE#608.09 DATE ISSUED: 11/30/2009 Property Located at: 12 First Street UNIT#N-512 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA-Zip Code: 01970 24 Hour Phone: 745.4884 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 Enforeemeret Division of the-Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of oesupants, 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 /w DAVID GREENBAUM ACTING HEALTH AGENT CODE EN RCEMENT INSPECTOR CITY OF SALEM, .NLkSSACHUSEZ"I'S } lln a lio,vtu or Hi:,v:rn �rna� 120\a�nSNINCroNSnti;itr 4"'Fy,clol, T1,1'. (978)741-1800 KIMBEALEY DRISCOLL Fns (978) 7450343 MAYOR iscc rrrrs,u.isni.t:01\t JOANNE Sco,rl, Hl;:1Lfi f A( Lwr 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: $5_0.0`0 n PROPERTY LOCATED AT �� Y1 r1� '��r'PD� LPEtt } t 1 �SGrJ(l LiNIT# IS THIS UNLIT DIISIIGN 1ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER PG \r\\ IT,CgY\'GY1dS MANAGER/AGENT Aec—✓)r7,e_ NO P.O.BOX ,✓r I i ADDRESS I V,�1S� r! Pl ADDRESS CITY, STATE, ZIPCITY, STATE,ZIP Cf RESIDENCE PHONE k) 1 A BUSINESS PHONE(24HRS)_CLY /C6��J9&c BUSINESS PHONE q A- y %g / TOTAL NUMBER OF ROOMS: ROOMUSE: I. 110� 2.z!,MV`1Cts 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHF•.CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TI SPECTION APPLICANT'S SIGNATURE Q lP/�l�'I� � � DATE I C3 I / Insneetors use only Date on initial inspection: 1 i�301ll Date of reinspection: Date of issuance of certificate: t t h e lQ 9 Date fee paid: / 1'}pe of unit: Dwellin _�/�}t}lerClleck#145 _g7VY Check date: �()IA? Notes: Code En cement Inspector Tq City of Salem, Massachusetts INBoardof Health 120 Washington Street, 4th Floor, Salem, PubliCHealth MA 01970 Prevent-Promote Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-369 DATE ISSUED: 10/3112017 Property Located at: 101 FIRST STREET UNIT#N602 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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 n r CITY OF SALE-I, f\LA.SS ACFNSETTS Bo\',u)o H!'.u:[t[ 120 0 AS;[INC,ION S tRLLT,4"-FLuot, Tet- (973; 741-1800 KIMBERLEY DIMS=T F.�x(973)745-0343 NLkYOR is,-nTTrSvnr CON[ JOANNE SCOTT, HEAL.TI-I AGENT Application for Certificate of Fitness IN ACCORDANCE VITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4t0.000 "MINIMUM STANDARDS OF FITNESS FOR HUtiLAN HABITATION." `- FEE: S50.0L0- PROPERTY LOCATED AT I Z Ft �S 4 S[Y UNIT4 N ioW, G THIS UNIT DISIGNATED AS RIGHT LEFT FROST OR BACK,PLEASE CIRCLE ONE O%INER'LESSER PfOVIOi — SAPWl L -r y,LANAGER/AGENT � UCC.✓1 NO P.O.BOX ADDRESS ADDRESS c��w CITY, STATE, ZIP rr ?�M__t 0A A 7() CITY, STATE, ZIP See RESIDENCE PHONE�t1.��M Q RUSIN'ESS PHONE(24HRS) BUSINESS PHONE TOTAL N'UNIBER OF ROOMS: ROOM USE: 1. �ii "I 2. 3. IAD VIAA 4. I7G1.VIAA 5. 6. 7.- 8. 9. 10. THERE IS A FIFTY(S 50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TILE OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use onh Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: D�eetling Other Check h Check date: -- Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 IiIIvD3LRLEY ll7t1SCOLL FAX (978) 745-0343 MAYOR Irarndin@salein.com L,\RR\'R,\%fDIN,RS/RHI IS,(71 1,(T-FS HI?iV l A(" SN'1' CERTIFICATE OF FITNESS CERTIFICATE#208-11 DATE ISSUED: 6/29/2011 Property Located at: 12 First Street UNIT# N-604 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH (� LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR r F CITY OF SALEM, MASSACIIUSEI.TS BOARD()P Hl{nla'i-I - -- -- _- Tisl.. (978) 7411800 FJIMBLRLF,YDRISCOLL T'A\-((M)745-0343 IV`u1YOIZ itirxs: rr[J."A Vim.COM JOANNg S{COTE, HY:;ll:P119G1,'.N'l Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM S'T'ANDARDS OF FITNESS FOR HUMAN HABITATION." �FFE:J$50.00 / PROPER'T'Y LOCATED AT �� i1 s y/Z(p7 ,� , /t/�A- D167TU UNITI-L—/"� IS THIS UN[T I)AIGNATED AS RIGHT LF�F'T FRONTOtf RACE,PLL;ASE CIRCLE ONE OWNER/LESSER g/l�yl�a/S MANAGER/AGENNO P.OBOX T ADDRESS /? 7� ADDRESS CITY, STATE,ZIP �6r/P,4171 lv { /�/Cl 7 U CITY. STATF,ZIP RESIDENCE PHONE�i 7-f BUSINESS PHONE(24HRS) �/ BUSINESS PHONE 17 b - T� TOTAL NUMBER OF ROOMS: 6 ROOMUSE: 1111T' thew 2.1,,iYrY/gyp/GGIff3.� 4.28?1/GdYt9 5. 1�t �DYy7 6. 7. J &. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONLY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS(E IS PAYABL T THE TIME INSPECTION APPLICANT'S SIGNATUREGed DATES //^ II Insvectors use only LDate on initial inspection: pla t/�t�1 Date of reinspection: ^~i Date of issuance of certificate: /a 0/ rDate fee paid: !o�91/// Type of unit: Dwelling: / �Othe_ Check It !aU�/�a� Check date: �P!/411 Notes: Cod I;nf`orc ment Inspector CITY OF SALEM, MASSACHUSE"ITS BOARD OF HE\LTII 120 WASHINGTON STREET,4"'FLOOR TIwL. (978)741-1800 KIIABERLEY DRISCOLL FAX()78)745-0343 lMAYOR DGRITNBAnlO),sAla:,r.cnml DAVID GRI'.I'sNBAUNI AGIING I-Ifa Ixi-i AGRNf CERTIFICATE OF FITNESS CERTIFICATE#302-10 DATE ISSUED: 6/18/2010 Property Located at: 12 First Street UNIT#N-606 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH D VID GREENBALIM 1 ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BoAM)orHEALTH \C 120 WASHING 1'ON S'1'RI?I'C 4O.FLUOR TuL. (978)741-1800 IQMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR Isc ,,r n sAii-w.CUM JOANNE SCOTT, HR•.Avni Am➢N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." L FEE: $$550.00 PROPERTY LOCATED AT J�l l r5� J- '4 l�l J C7 UNIT# ��p IS THIS UNIT DI/SI'GNATjED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER \2G—I_�oT H CeVI/gYdS MANAGER/AGENT `ecC� net S14" ? . NO P.O.BOX ADDRESSJ S(� ADDRESS / 1 CITY, STATE, ZIP 1�M �/� d Icl )0 CITY, STATE,ZIP RESIDENCE PHONE p BUSINESS PHONE(24HRS) BUSINESS PHONE i TOTAL NUMBER 11 OF ROOMS: // —� I _ ROOMUSE: I.1//)I�LIO 2Li�/1Y10 3. VOA 4� r-% S P(J 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OTION / APPLICANT'S SIGNATURE /�fP�JVClI�S2 ti C/ �[2� DATE 6IJ10 — 1 J Insn_ ectors use only Date on initial inspection: (Q !I I/l] Date of reinspection: ] Date of issuance of certificate: (17 I�t��lO Date fee paid: (9 //A Type of unit: Dwelline her Check# ggkSSSa Check date: (n I/O l/U Notes: Code En ement Inspector wN City of Salem, Massachusetts lug f s. W Board of Health 120 Washington Street, 4th Floor, Salem, PublfCHeBlth MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-340 DATE ISSUED: 9/6/2016 Property Located at: 12 FIRST STREET UNIT#N-607 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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. 1&Jeffr Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT SANITARIAN f CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PublicHealth 120 WASHINGTON STREET',4"'FLOOR Pr<vent.Promote.Pr Ith TET.. (978) 741-1800 FAx(978) 745-0343 IINIBERLEY DRISCOLL Iramdinnasalem.com MAYOR - LARRY K<�MDm,ILS/REHs,cHo,cr-rs HEAuf I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" , r 11� ee ff FEE: $nn50.00 A ' PROPERTY LOCATED AT Z �YST JT c]j i L4A �� 7 G UNIT# IS THIS UNIT DISIG 1NATED AS`1 IGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER . 79t.0� C( Y 1 Ing , MANAGER/AGENT �-J0ar\ e� �sse-�( NO P.O.BOX __ ADDRESS I Ft�( I�,st',�1 AAA p n I �7 ADDRESS < a -A F CITY, STATE,ZIP �I1e 1 , /V A o P /D CrIY, STATE,ZIP Sok RESIDENCE PHONE q 1 Z' 7 45 - 4A 4 BUSINESS PHONE(24HRS) SQ ✓r`'L BUSINESS PHONE C=axy 'C TOTAL NUMBER OF ROOMS: 6(2- � ,p n ROOM USE: 1. 2. L-Vl 3. �✓12n'( 4. &Q5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION Q APPLICANT'S SIGNATURE /I DATE Insroectors use only Date on initial inspection: Dq/0ll7�1z, Date of reinspection: Date of issuance of certificate:0q/01 IlDl!_, Date fee paid:bR/L9/201 C_ Type of unit: Dwelting-�,/-/—Other Check#q q2±22q I} Check date: Notes: __ -7L4 Site Name Pequot Hiqhlands Date Received Purchase Order# ( "L( 1 fl�✓ Batch# o wor thvs ctor GL Code 'L� O Amount to be Paid C7 _ Approved By CITY OF SALEM, MASSACHUSETTS BOARD OF HEun-i 120 WASHINGTON STREET 4"{FLOOR )�I1�liCH@AZ� � Pr<ven[.Promarc Protect TEL. (978)741-1800 Fax(978) 745-0343 _ KIMBERLEY DRISCOLL tramdinn.salem.com ' LARRY R,\b1DIN,RS/RI?I IS,CI IO,(:P-1+S MAYOR He,\],rFI AGENT CERTIFICATE OF FITNESS CERTIFICATE #010-14 DATE ISSUED: 1/9/2014 Property Located at: 12 First Street UNIT#N-608 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Roaming 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 RAM DIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSEITS B O,3RD OF HEALTH 120 WasHINGTON STREET,4M FLOOR i'th TEL. (978) 741-1800 FAX(978) 745-0343 KIilyiBERLEY DRISCOLL Iramdii;,@salem.com 'M,-yYOR Lium,IL\NNM,RS/RENCI S,CHO, '-I'S HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" {{ }FEE: $50.00 PROPERTY LOCATED AT I � c✓ C . ' (00 IS THIS UNIT DI'SIIGNATED i'AS RIGHT LEFT FRON' OR BACK,PLEASE CIRCLE ONE OWNER/LESSER e `Yi (/O)+ MANAGER/AGENT NO P.O.BOX J ADDRESS ` Z ir- ADDRESS CITY, STATE,ZIP <-_��ti t h-A Y , t� Ot- 70rry, STATE,ZIP I RESIDENCE PHONE 'I �WLl '-)— Q 98L4 BUSINESS PHONE(2j ql1SYtlWe S 9 Site quot Highl # Pe BUSINESS PHONE _ DateReceived 10137 as;,Order* TOTAL NUMBER OF ROOMS: Batch# {� Q GL Code ROOM USE: 1. l 2. 3. P "` 4. A5?ount to be Paid 6. 7. 8. 9. A@@roved By ' '3 THERE IS A FIFTY($50)DOL FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE E,�T T TIME F7�ON APPLICANT'S SIGNATURE - /((If 1 / DATE I (f r(t J v Insvectors use only Date on initial inspection: t 1i1 ICY Date ofreinspection: I I Date of issuance of certificate: Date fee paid: Type of lint: Dwelling Other Check# Check date: Notes: Code orcement Inspector CITY OF SALEM, MASSACHUSET"I"S A BOARD OF HEALTH IV_ 120 WASHINGTON STREET,401 FLOOR PublicHealth Ymvmt Yromom.Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinaa salem.com LARRY ItAnavtly,RS/R1--U rS,CI to,CJI-Rs MAYOR HEATAuAGENT CERTIFICATE OF FITNESS CERTIFICATE #420-12 DATE ISSUED: 10/19/2012 Property Located at: 12 First Street UNIT# N-609 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 LA AMDIN HEALTH AGENT ✓ AN 4A t � 1- �+ • CITY OF SALEM, MASSACHUSETTS r BOARD OF HE. imi 120 WA,,HNGTON STREET,410 FLOC)R TEL. (978) 741-1800 KINfBERLEY DRISCOLL FAX (978) 745-0343 MAYOR annn>u(ilsni.i.nt.roni l,A1m'R,\N1DIN,RS/itH IS,(110,c.r-rs Hu:\i;ri i A(;r.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 12 K c rS-+ M A D lq"1 O UNIT# tJ - I p nq IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER 9,9qu(- F H-)ghl4n/1 )0 MANAGER/AGENT Pr+ 1-hjhl C) NO P.O. BOX ADDRESS 12 FIYSt S1ce.P ADDRESS I7_ FIVC4 CITY, STATE, ZIP Sn 1 P,m NAA D 19-1 b CITY, STATE,ZIP SA IP rn\ . M fR Dim r) RESIDENCE PHONE BUSINESS PHONE(24HRS) l q"1S[ )-1�4S -QTJ BUSINESS PHONE (A IR�1� 45 -L488�I TOTAL NUMBER OF ROOMS: S ROOMUSE: 3.l IV1hd1MM 4.`7rdrC1xn 5. hpclroorr, 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 4. - (2 _ DATE QTI- / Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# n/n9 oW dU Check date: /U�W, Notes: Code E cement Inspector ,/l CITY OF SALEM, MASSACHUSETTS BOARD OF HF LTH 120 WASHINGTON STREET,4p.FLOOR PublicHealth ('rcvem.r."mom rr.mea TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdinnGsalem.com - LARRY RAPIUIN,tts/ttUts,Cl lo,Cr-rs AL YOR HFAL'ruf AGENT CERTIFICATE OF FITNESS CERTIFICATE#290-13 DATE ISSUED: 8/14/2013 Property Located at: 12 First Street UNIT# N-610 Owner/Agent: Pequot Highland Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-8166 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 4 A, S4- LA RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS � 1 BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PubliCHealth > Prevent.Promote Protect TEL.. (978)741-1800 F,-\-x (978)745-0343 IIIBERLEY DRISCOLL lramdiriasalem.com vL3YOR LARRY RAN01N,RS/REAS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness PI ACCORDANCE WITH STATE SALNITARY CODE, CHAPTER 11, 105 CMR 410.000 "MNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 11 r C ' FEET: $50.00 (� l PROPERTY LOCATED AT 1 1 (� �il�k �O Ii(I ��V V 1 \J�CrI-)0 WIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER PP-Gf L)C4- H10 �rl-h (tl MANAGE AGENT ADDRESS 7 i'1 rC, (Y � Q1n� q ADDRESS CITY, STATE, ZIP �GL 4- Yv1 , Y Y Y I O I C4 7D-,Try, STATE,ZIP RESIDENCE PHONE Q� BUSINESS PHONE (24HRS) // b' )6'S- ` gO q BUSINESS PHONE Ll TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 1 ' Inspectors use only Date on initial inspection: Z�I 1`' I 13 Date of reinspection: I Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: S9 Notes: D"-- N.w o, PCqUUL lllands Site# 0137 Date Received -I( I �-115 Purchase Order# (0'C 17 :z&C;- Batch# f®r GL CodeCodexte7- pector Amount to be Paid C cC j (j[) Approved BY A . IP.u"i'S kwiktag° 108 251 136 Illilililllilllllilllllllllll CITY 01^ SALEM, NGkSSACHtJSE"FTS BOARD OF 14FALTH 120 WA5HING'roN Si-RET--rr,4"'FI,0OR �1bhCH�t h 'ro.,. (978) 741-1800F AX (978) 745-0343 IQMBERJ.FY DRISCOLL h-amdin a salem.com LARRY RA<`TDIN,RS/RI.1IS,CIIO,(;1'-Pti MAYOR FI vlm,-n I Ac;uN'I' CERTIFICATE:OF FITNESS CERTIFICATE #99-12 DATE ISSUED: 3/14/2012 Property Located at: 12 First Street UNIT# N-612 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4884 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. 11j111 D OF HEALTH LARRY RAMDIN HEALTH AGENT CCrY E ENFORC %Y'INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD of HrALrH "r 120 W'`'ASHINGTON SIREF,T,4'FLOOR ThL. (978) 741-1800 KEMBERLEY DRISCOLL FAX (978)745-0343 ZLIYOR N'OTTrsAT,Far COSI JOANNE SCOTT, HEALTH_-1C;ENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." r� FEE: $.50.00 � / n 7�j f p PROPERTY LOCATED AT Ili �l S W- �,�GI�-PeWilYlA U! /fU UNIT# lJ IS THIS UNIT D/ISIIGNAjTED AS RIGHT LEFT FRONT'ORBACK,PLEA�SEUR�CLE ONE OV NER/LESSER �U(/1 t� l�ll/G( VZ�VS MANAGER/AGENT IKL�IIS.�C fKl/�JG'I Y� i NO P.O.BOX r7 (- ADDRESS 0 �IO�T P�q� ADDRESS CITY, STATE, ZIP c3a l�✓ll ASI" O l q' U CITY, STATE,ZIP RESIDENCE PHONE r/ J� RUS[NESS PHONE(24HRS) BUSINESS PHONET ' �7 /✓ �'�� TOTAL NUMBER OFROOMS: �7 ROOM USE: 1.��7/�� N 2. 1) J,,k)-Q (Mj4.242,� 5. 6. 7. 8. 0 9. 10. THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH TH , E S PAYABL AT THETIM INSPECTION h (�� i APPLICANT'S SIGNATURE Z DATE + ' r + Insoectors use only Date on initial inspection: 31 I L4 I �a Date of reinspection: Date of issuance of certificate: Date fee paid: 3// Type of unit: Dwelling, Other Check#jVCheck date: eZ/a &/i 13/ Notes: Code r entInspector N City of- Salem, Massachusetts ' s �. ....�. : Board of Health 120 Washington Street, 4th Floor, Salem, PP�UPrevent. Promote. Protect Health 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-16-474 DATE ISSUED: 11/30/2016 Property Located at: 12 FIRST STREET UNIT#N-701 Owner/Agent: Pequot Highlands Address: 12 First Street CitylTown: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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. �G' y Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN Cr :1a atd _; CIT-' OF SA EM1 N—P, SS ACHLiSETTS U 1_? Ith BOD o=H��r�I }O�ASHI�GTON STREET,4FLOOR u..... v.oma TEL. (978) 741-1800 F.ix(978) 745-0343 KL,IBERLEY DRISCOLL lramdin(2,salem.com L.uw'RAJDIN,16/REFIS,CHO,CI'-PS 1VL�YOR HEALTFI AGL:NT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NIIININIUM STANDARDS OF FITNESS FOR HMVLN HABITATIONN" �Y L FEE: $50.00 PROPERTY LOCATED AT 5 f- UNIT; IS THIS CTNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE O`VE ��Jll OWNER/LESSER LO ` ��\.\ CLAA S ivL kNAGER/AGENT 30a r\ NO P.O.BOX 1 ADDRESS ` � _ ((��,,�� 51 MA ^n ADDRESS S0.-l''A e CITY, STATE, ZIP JA, it ; /�/V/T,0 Iq 70 CITY, STATE,ZIP s�P- RESIDENCEPHONE q 1 9, 745 - LA a 4 BUSINESS PHONT (24HRS) Sa m BUSINESS PHONE �K L TOTAL NITUiMBER OF/ ROOMS: 'q y� ROOM USE: 1. 1 � 2. L-1r,�n P` 3. ;a- 4. e) 1Z- 5. 6. 7. 8. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE ELME OF INSPECTION APPLICANT'S SIGNATURE DATE Ins-oectors use oniv Date on initial inspection: q Date of reinspection: Date of issuance of certificate: L Zq�� Date fee paid: Type of unit: DwellinP_v/—Other Check RJ�2-L2�A Check date: Notes: .,a .. .aiw fc4.n+liiyJpiid$ qa crate Received �urcnasa Order f *dor ent Inspep or Batch fi ,��cock; _�i�911 -UUUU ,.n.nunt to he Paid —Y ,: p,oved By CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGCON STREET,4''FLOOR TEL. (978)741-1800 KINIBERLEY DRISCOLL FAX(978)745-0343 MAYOR IDIONNE(a 5ALF .COM JAN1i'1'DtONNP: A(.1'ING HRAI;ni AGi;N,t CERTIFICATE OF FITNESS CERTIFICATE#555-08 DATE ISSUED: 10/28/2008 Property Located at: 12 First Street UNIT#N-702 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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. &ED O D HEj(A4TH /(/ NNE A ,<� ACTING HEALTH AGENT /CODE ENFO EMENT INSPE TOR CITY OF SALEM, NLASSACHUSETTS i� 120 WAsrnNcroN Stxi a-,r 4"'Fl.00x Ti,L. (978) 741-1800 KIMBERLEY DRISCOLL F.\x (978) 745-0343 IA-L�Y OR iscc,rr(a-)s,\u-%i.COM )O_\NNE SCO rr, HE?\urH_GENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." L FEE: $50.00 PROPERTY LOCATED AT Q fi rs ��C4W� 5y, ern M/-1 niQ')n UNIT# k,�- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER'�).ori-� xv MANAGER/AGENT Jror. nnv NO P.O.BOX 1 1 I U ADDRESS1 1 irSt Strpol ADDRESS A )14. CITY, STATE, ZIP S ,\o ur� �AN CG1Cf)o CITY, STATE,ZIP // A )//OrRESIDENCE PHONE lulA BUSINESS PHONE(24HRS)l`QnR) cIvt,I BUSINESS PHONE �`)R) 7 /S- cl-�SL/ TOTAL NUMBER OF ROOMS: J 4 ROOM USE: l.� c F rum 2. �14 Ylv Vl 3. l.r. nnCixm 4�cr)r.•rm S.�ccJt�csv ) 6. 7. 8. Ij 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE /'/A l.MM (2 Su_XdL✓ _'DATE 0 // Insnectors use only Date on initial inspection:/i 2-Fr Date of reinspection: Date of issuance of certificate: )O Date fee paid: Type of unit: Dwelling ✓ Other Check# /2-3 7 Check date: /a Zb' 6 P Notes: �jIAgI ,►AIn Code Enforcement Inspector City of Salem, Massachusetts " ta Board of Health 120 Washington Street, 4th Floor, Salem, Pub1>1CHP.81th MA 01970 Pteaent.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-17-97 DATE ISSUED: 3/30/2017 Property Located at: 12 FIRST STREET UNIT#N703 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. gi�-r4 A LlJ Larry E MPH, REHS, CHO I HEALTHTH AGENT J SANITARIAN CITY OF SALEM, 1\'LNSSACHUSETTS Bo%moi HEAI:rH + n 120 WAST[INcroN SFRJ:I r,4"FwoR TiL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 i\LIYOR JScciTT(d5 v rnr CON( JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 1C FEE: $50..00 !` PROPERTY LOCATED AT L YIV'Z S'1 (t - 0UNIT# N V 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ?1°l�II ll� - SA I? IM �—� VIANAGER/AGENT 3 (J" 9-(&SS�60 NO P.O.BOX ,, ' . . ADDRESS Z �� TSpp �� ADDRESS cSW��n CITY, STATE, ZIP',]Lt_h- ,kAA t MAUI '1-70 CITY, STATE,ZIP--�-7Q.WI-Q. f G RESIDENCE PHONE�f IM Q BUSINESS PHONE(24HRS) C -Z q�^-"1 0 BUSINESS PHONE TOTAL NUMBEROF ROOMS: f`'"( ROOM USE: 1. 't 2. 3. Y 1 KW`4. UW5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 2 I + Inspectors use onlv Date on initial inspection: �I?i�()I Y Date of reinspection: Date of issuance of certificate:�Lqt�� Date fee paid: Type of unit: Dwelling Other Check k Check date: Notes: Pe000t•8819M LP 1985 ;)ate Received 3—I_I Code Enforcement Inspector Purchase Order k o"% !3L Code �o—k2 2 4 Paid �,3,— haProvproved By D City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, Pfa "I MA 01970 Pr"ent.Promote.Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-98 DATE ISSUED: 3/30/2017 Property Located at: 12 FIRST STREET UNIT#N704 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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. AI I I Larry Ramdin, MPH, REHS, CHO J HEALTH AGENT SANITARIAN Il {b. CITY OF SALEM, 1\'L�SSACHUSETTS B().kRD oI H[:.S1XH 120WASHINGTON Stwa r -"FLOOR T1;1_ (978)741-1800 KLNLBERLEY DRISCOLL F.kx(978)743-0343 INL1YOR isc07rrS u.r\[.COSI JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" (� � cF, f EE $5_0.00 (� ^� PROPERTY LOCATED AT 17- � l TL c�TC�X�f UNIT# 1 V ' / IS THIS LN7T DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE — S �--r MANAGER/AGENT E S OWNER/LESSER I P 1l r'1� Q LP V1/l G R/AGENT � UQ,VI � SP.I, NO P.O.BOX ,, • . �7 ADDRESS 12 F),tr (S� �' - Q ADDRESS CITY, STATE,ZIP 1 MA 01 L70 CITY, STATE,ZIP �^aJAV I C RESIDENCE PHONE'�-,6(AAA-e. BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OFA ROOMS: I� MnO USE: 1. Vl 1 2. 1 AL 3. MrOA 4. 1/�/p5. 6. 7. 8. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF NSPECTION APPLICANT'S SIGNATURE DATE Insoectors use onlv Date on initial inspection: s�I�4 1�+�y Date of reinspection: Date of issuance of certificate: ( J{ I Jl l I Date fee paid: Type of unit: DwellingOther Check 9 Check date: Notes: Site Name Pequot•Salem LI Site# 1985 Date Received Code Enforcement Inspector Purchase Order# GL Code (R'LC1 Amount to be Paid nS7� Approved By �y c y - City of Salem, Massachusetts r � a Board of Health 120 Washington Street, 4th Floor, Salem, Pub�CHealth 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-17-52 DATE ISSUED: 3/2/2017 Property Located at: 10-1IRST STREET UNIT#N705 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. e-_t� 4,r Larry mdln, MPH, RENS, CHO / HEALTH AGENT ✓// SANITARIAN y.r CITY OF SALEM' l\'L�SSACHUSETTS BOARD or HE.�i:rFl 120 WASHING VON STRI:I_r 4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)743-0343 LV'I.-1YOR rsmTrr'e.v ry COM JOANNE SCOTT, HEALTI-i AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." }FEE: $50.00 PROPERTY LOCATED AT UNIT41L—JOS IS THIS L!]-IT DISIGNATED AS RIGHT LEFT FRONT OR BECK PLEASE CIRCLE O-,E OWNER/LESSER 71 %00 - SA lP WI L-0 MANAGER/AGENT � (Ja-O PA(&S S-e t t NO P.O.BOX ADDRESS I Z f S^o �S�CXII ADDRESS &Uv/ CITY, STATE,ZIP <J rt YV` A C71 ' t7() CITY, STATE,ZIP �alV- - RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: q • ROOM USE: L Ill T 2. l�Y� 3.'II//-1k 4. ( d rW, 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE n / Inspectors use only Date on initial inspection: n( 'D /�6 Date of reinspection: Date of issuance of certificate:',,, L ?� �� Date fee paid: Type of unit: DwellingOther Check# Check date: Notes: L,V � ,Nrc asr Order r;' CodjEorcem' ent Inspector /� (0 20 I to be Pa,u 1J AppiodeG By • . CITY OF SALEM, MASSACHUSI I"IS �. Boom OF l-lFAr:r1I 120 W.\tiHING'I'ON STRILI?'r 41° FLOOR (978) 741-1800 KIlv1Af?RLr?Y DRISC0I.I FAX(978) 745-0343 MAYOR uc RIT(NIIAUNI0SAH:NLC M 17,\YIU Gm:i�'NR,\u%1,RS A`rIN(i FIIFAL I'I I A(;I',N'I CERTIFICATE OF FITNESS CERTIFICATE#529-10 DATE ISSUED: 11/15/2010 Property Located at: 12 First Street UNIT# N-707 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem Zip Code: MA 24 Hour Phone: 978-745-4884 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 DAVI�ENBA , RS ACTING HEALTH AGENT CODE ENFdEMENT INSPECTOR e CIFI T OF SALEM, NI SSACHUSETTS lmxis 120\VAS)I ING)'()N STREV,r,d...Fl,uc,R '1'I Cl.. (978) 741-1 SO() 7 (At131 1 1_?::l'DI2ISCU'I- FAX (9718; 74-5-034; P'1/\\,m IerOI iGPSAIXiM WN.1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE. CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." pp j + �y� FEE: $50.00 i R A t r/ PROPERTYLOCATEDAT I� 1 '`(�,t &4 UIW - {�I,� 61.13.6 UNIT# N- 7-Or IS THIS UNIT DISIGNATED AS RIGHT LEFT FROM OR BACK,PLEASE CIRCLE ONE OthNERILESSER_y MANAGER/AGENT, NO P.O.BOX ,,. ADDRESS 1,ej �rS }f 7 p ADDRESS CITY, STATE,ZIP_S � IV(.Fti- , r} q CITY, STATE. ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 117-9— BUSINESS 7U —BUSINESS PHONE TOTAL NUMBER OF1�ROOMS: ? 2 �;),,.��1 ROOM USE: 11.kl? A—e�t 7 t r M 3l d+�c 44.1.)CarQ�f rm( 6.THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE THE TIME OF INSPECTION APPLICANT'S SIGNATtJRE�/I1�i f�.e LAS DATE t Inspectors use onlv Date on initial inspection: i I ho Date of reinspection: / Date of issuance of certificate: )/l r� ho 9N Date fee paid: bs//G Type of unit: Dwelling Other Check# 9"IaUWgyCheckdate: Notes: Code F.nf ce ent Inspector R .. Coxw CITY OF SALEM, MASSACHUSETTS ji BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a`1, lr`p, SALEM, MA 01970 mak'' TEL. 978-741.1800 'tiles FAX 978745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 192-08 DATE ISSUED:4129/2008 Property Located at: 12 First Street UNIT# N-708 Owner/Agent: Pequot Highlands Address: 12 First Street CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4884 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 20NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � M CITY OF SALEM, MASSACI IUSETTS BoARt'}OF HE'.LTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KIRIBtRLEY DRISCOLL FAA(978)745-0343 MAYOR NO r 64SAH;Nm.COM J()ANNE SCO}TI', HEM rH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT�2��,,-,—k - --SIS THIS UNIT DISIGNATED AS RIGHT LEFT FRONTOR BACK,PLEASECIRCLE ONE OWNER/LESSER r'c,F--�_c : �G L A c MANAGER/AGENT1Z5e_A ,, � NO P.O. BOX V l� ADDRESS ADDRESS CITY,STATI'.,ZII'4�;� & 4l-,�- 0\G''-lC�,_CITY.STATE,ZIP RESIDENCE PHONE 1Q BUSINESS PHONE{24HRS} BUSINESS PHONL� — TOTAL NUMBER OF ROOMS: ROOM USE: I.ka Z a 6. 7. ° 8. 9. 10. THERE IS A TWENTY-FIVE(S25) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT�TH_E'T'IME OF INSPECTION � APPLICANTS SIGNATURE .OQnOrv,-%� DATE ] Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Y •- k-,3V Date fee paid: t1. 1.i Q V Type of unit: Dwelling Other_, Check # I Im'L Check date: �5 Z S oif Notes: 4cnment Inspector CONDI" City of Salem, Massachusetts 3 � Board of Health 9 120 Washington Street, 4th Floor, Salem, PPub1iCHth MA 01970 PTOteot Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-12 DATE ISSUED: 1/15/2016 Property Located at: 12 FIRST STREET UNIT#N-709 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 (J HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS Bmm OF HEALTH 220�'',kSH1\GTONiSTREET CFLOOR T�Ibli'.xealtw, STREET, Pnveno.Premna.Pm1mt. TEL.(978)742-1800 FAX(978)745-0343 KIi IBERLEY DRISCOLL ]ramdin(a)salem.com MAYOR LtiRRY RititllSN,R4f RF.FIS,CHO,CI-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMIt 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN' HABITATION" FEE $$5{50.00 7 } PROPERTY LOCATED AT I�b � ' � .1 C_ fVY1 (947L UNIT#GV IS THIS [INIf DISIGNATED AS RIGHT LEFT FRONT OR BAC' PLEASE CIRCLE ONE OWNER/LESSER � t O k C(AAC> MANAGER/AGENT 3, oa\ e;Zs eA NO P.O.BOX �� { ' ADDRESS l �L �,,(,,`°it S� A,�^ I ADDRESS CITY,STATE,ZIP �.�C.1—.1Y I,' AAA A 0 tOl� 70 CITY, STATE,ZIP RESIDENCE PHONE q t Z* �` 5 ' 4An4 BUSINESS PHONE(24HRS) BUSINESS PHONE ( TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. VfT - 2. 3. K 4. LJ ` v 5. 6. 7. 8. 9. 10. �.. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM- BOARD OF HEALTH THIS FEE IS PAYABLE T THE INSPECTION APPLICANT'S SIGNATURE / DATE_.,./ /, Inspectors use only Date on initial inspection: 1240/202 S Date of reinspection: Date of issuance of certificate: 12/30/2415 Date fec paid: �Z11Z6 Type of unit: Dwelhng-A/--Other Check#0011171,5 Check date:_L Q Z20)6 t j�/� /� Notes: Q'+� NITR: / �! "/"c5q site#,- Pe4uot Highia:ttis EaiC Received nil? ) Purchase Order Batch* GL Code cement ector Amount to be Paid Approved By BOND City of Salem, Massachusettslu 4 Board of Health n 120 Washington Street, 4th Floor, Salem, PublicHeAlth 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-15-319 DATE ISSUED: 10/2/2015 Property Located at: 12 FIRST STREET UNIT#N710 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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 F-� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT RIAN ( CITY OF SALEM, NL1ss kCHUSETTS Bo�RDOFFri'AJ:rN 120\t'. S1lrnc ON S'rRj:ET. IT"F],.DOR Tt:i.. (978) 741-1800 C ':IBE1 i}R _ .V l'LAYOR iscoTrTra's, t Fit.COU IOANNE SCO I'r, I-IFALTrI,IGEN'T Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11. 105 CMR 410.000 ` tvnC uM STANDARDS OF FITNESS FOR HUMAN HABITATION FEE: S54.00 , UNIT- QPROPERTY LOCATED AT 91 � ' IS THIS UNIT DISIGNATED AS RIGHT LEFT FRS OR BACK.PLEASE CIRCLE ONE / OWNERILESSER V eA Vok `�� MANAGER/AGENT1110 P 0.BOX ADDRESS 1 U Ti,t,7-? n n /ADDRESS CITY, STATE, ZIP �,.�..Q M ��IiV(�� Ol j 70CITY, STATE, ZiP GI � RESIDENCE PHONE. �7 BUSINESS PHONE(24HRS) BUSYNESS PHONE ��, ��' � ' O TOTAL NIAMER OF ROOMS: k4 ROOMUSE: 1. V1tT ^. L� 3. 4. 6 7. 8. 9. 10. THERE ISA F[FTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS PEE IS PAYABLElrsnectozs TME F I. ECTION bks APPLICANT'S SIGNATURE use onh' DATE Date on initial inspection:, Date of reinspection Date of issuance of 1enificate:6 /'1j)2S Date fee paid:� 3t�/2t115_ Type of unit: Dwelling Check#91211400 Check date: 05/0Y/Zn15' Notes: � � Site Noma Patin lot ap bile Site* I0137 Data IasOrde lved Purchase®Ydat# *C /r ement I pector Batch* GL Code (j Amount to be Paid Approved By City of Salem, Massachusetts -a r Board of Health 120 Washington Street, 4th Floor, Salem, PlublicHealth t Da Prevent Promote. Promet. 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-17.222 DATE ISSUED: 7/27/2017 Property Located at: 12 FIRST STREET UNIT#N711 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 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. 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 Bo.alu)or HFAIA FI "s 120 WASHINGTON S1RIiP:C 4"FLOOR TEL. (978)741-1800 hl\IBERLEY DRISCOLL FAX(978)745-0343 1V'L1YOR 1scoTrOs v rxi.CONI JOANNE SCOTT, HEALTI-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." 9 1 FEE: $50.00 PROPERTY LOCATED AT Z T1 Y c 71Y k UNIT#'IV IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER Ef yi Sa le w �--� MANAGER/AGENT �DJ" R-W S S-et l NO P.O.BOX ,, " ,, , , �7 ADDRESS Z �T (C �.� w'rX/I ADDRESS�OWM^ CITY, STATE,ZIP . rtJ-e—W 4 Y V` A 61 0170 CITY, STATE,ZIP-^G iA^-e C RESIDENCE PHONE�t(.AAA �_ BUSINESS PHONE(24HRS) ( 6 -Z L tK -"IJ �O BUSINESS PHONF VX 1�1/L/IQ� TOTAL NUMBER OF ROOMS: C ROOM USE: 1. �il 2. 3. 9A r'%^- 4. 9(fr --5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwellin.- Other Check# Check date: Notes- Site Name Pequot•Salem LPA Site# 1985 Code Enforcement Inspector Date Received '7 lQ—( Purchase Order# o GL Code Amount to be Paid 4oproved By � City of Salem, Massachusetts / • i n Board of Health ��{.y 120 Washington Street, 4th Floor, Salem, MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-54 DATE ISSUED: 3/2/2017 Property Located at: 10 12 IRST STREET UNIT#N712 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 Rl: CITE' OF SALE`I, 1\'L�SSACHUSETTS BOARD OI:HEAIA H +a; � 120 WASE ING ION S'IR :E 1,4"FLOOR TEL. (978)741-1800 l I.NIBERLEY DRISCOLL FAX(978)745-0343 IN'L1YOR ISCO T(RSALEN(.CO\I JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." r c1 _FEE,: $50.00 PROPERTY LOCATED AT Y'1 V-(, - 'Wt-alk k - UNIT# IS THIS IIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ? ^ SA if Wl 1- 1 MANAGER/AGENT 0" R-Lk S S-Pt t NO P.O.BOX ,,w� • n ADDRESS 12— �li'TSpp t _ ADDRESS cSa CITY, STATE, ZIP_0-.r1 JAM 4 M A (71 '7U CITY, STATE,ZIP �aWL _ RESIDENCE BUSINESS PHONE(24HRS) 7 R_--I 4K —`1 U BUSINESS PHONE TOTAL NUMBER OF ROOMS: "f ROOM USE: 1. �(4 2. 3. Y�AVVV, 4. iS4Vbv, 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 12s Inspectors use onlv Date on initial inspection: . o D' I � Date of reinspection: Date of issuance of certificate: 0— Date fee paid: Type of unit: Dwelling Other Check k Check date: Notes: ON - I"1 Code forcement Inspector _ + GL Ap I y [ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PubliCHeaRh 120 WASHINGTON STREET,4.°FLOOR PrevemL Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL lramdinasalem.com LARRY RAMDIN,RS/R1i.l-15,C1 10,CP-ISS MAYOR HI;,\t: HAGISN'I' CERTIFICATE OF FITNESS CERTIFICATE#267-13 DATE ISSUED: 7/31/2013 Property Located at: 12 First Street UNIT# N-801 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Id- LARR MDIN HEALTH AGENT SANITARIAN f CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH 120 WASHINGTON STREET,4F FLOOR PalioHealth Pre.m[.P-oeote Pmmtt TEL. (978)741-1800 FAK(978)745-0343 KLMBERLEY DRISCOLL lramdin(@.salem.com NL�YOR LARxv xAMm[N,xs/xttEts,ct io,cr-rs HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MNINIUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEEL: $50.001 t��q l�`�i PROPERTY LOCATED AT Z �1 S 1 I Y3 1 t 11.i� V I 1 1 0\C� 0 uN T#1� I IS THIS ^U`UNIT D�ISIGNATED AS RIGHT LEFT FRONT OR BA PLEASE CIRCLE ONE OWNER/LESSER � �Jt Jt C\L ��(�Y TVLANAGER/AGENT NO P.O. BOX \\ __ ff11� ADDRESS 2 �Y�� N�c ADDRESS CITY, STATE,ZIP S Ck—Lt„v1 1 v l V N �O CITY, STATE,ZIP / I RESIDENCE PHONE___-_-__ G .BUSINESS PHONE (24HRS) LV BUSESSPHONE �� —�� I� VI SLI TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIVi iE OF INSPECTION APPLICAtNT'S SIGNATURE DATE n Inspectors use only Date on initial inspection: / /3 I I Date of reinspection: i Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: ��q SFj Notes: Site Name Pequot Highlands E,tc u Date Received 7 rurcnase Order Batch# 3�Qcjy GLCode (o�-6) Amount to be Paid Code Enfor went Inspector Approved ByIt, i5 kw!iktag a 108251 132 IIIII I III III I IIII�I IIII I�I�II wN City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PtlbliCHeBlth MA 01970 Prevent.Promote, Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-384 DATE ISSUED: 10/7/2016 Property Located at: 12 FIRST STREET UNIT#N-802 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. &reR� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 3 =� F `s CITY O_ SALEM, NLASSACHUSETTS a*" BO.kRD of HEALTH 120 WASHINGTON STREET 4"'FLOOR PubfiCHealth > Prevent.Promote.Prolttt. TEL. (978) 741-1800 FLAX(978)745-0343 Ili IBERLEY DRISCOLL lramdin0salernxom MAYOR Ltuutt'RAnID[N,Rs/REI-rs,CHO,CI'-I;5 HE,ALni 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" II FEE: $50.00 PROPERTY LOCATED AT l 2 C-I AS+ .Sk . WIT# �►—�U2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 78-q,lA� u Y1d s MANAGER/AGENT 3- cia 1 ��sse-�C NO P.O.BOX -_ 1 1 VV ADDRESS l'1 F;v'I,,i, ,�1 MA ^^ —7 ADDRESS SGI�I�Yt Q CITY, STATE,ZIP SaL ► , /t/V'T10101 /D CITY, STATE,ZIP Sa.WtJ2 RESIDENCE PHONE 01-7 9, 745 ' � b0'4 BUSINESS PHONE(24HRS) SQ-1'A4- BUSMSS PHONE 1M� TOTAL NUMBER t-014- OAF. ROOMS: ` ROOM USE: 1. F—c 4- 2. Lf?, 3. 69Z- 1 4. g fL 2 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF II tSPECTION C �] / APPLICANT'S SIGNATURE y. DATE l Inspectors use only Date on initial inspection: e712- /2016 Date of reinspection: Date of issuance of certificate:_Og/2g1201' _ 4Z Date fee paid:1D/DY12(1z4 Type of unit: Dwelling Other' Check#=�12-M Check date: OV2-1/204,11, '' II Notes: -7 Ll q Site Name Pequot Highlands Site# 0137 Date Received ` 7—( , Purchase Order# 4dement Batch# od ctor GL Code (p L`4 u— Amount to be Paid ,.) — Approved By �� OOND City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, PnblicHeaIth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-191 DATE ISSUED: 6/29/2017 Property Located at: 12 FIRST STREET UNIT#N803 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. e— Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN pro. CITY OF SALEM, N'IASSACHUSETTS 120%XA,i nXcroN S rtu.tcr,4"'F[-oo[z TEL. (978)741-1800 KINIBERLEY DRISCOLL FAX(978)745-0343 b'IAY0R iSCOTVrs u.F%I.CO-Al JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." (� L cJF,EE,,:,$,50.000 �(�2 PROPERTY LOCATED AT I Z r l�T J1 ( �1 UNIT# IS THIS L11T DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Pe yi (lr — SQ tQ VVI L--P MANAGER/AGENT 3 UaA P-w.SS2( NO P.O.BOX ,, � � � ADDRESS ) Z— ADDRESS cSa/t/1r`� CITY, STATE, ZIP (�rj- UAA 1 MA 61 ' l-7D CITY, STATE,ZIP �aM^-P. RESIDENCE PHONE'�,O(�AJ�V--C,. BUSINESS PHONE(24HRS) C q —"1 u BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 n ROOM USE: 1. �i.� 2. 3. Wee& 4. &J&l , 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insoectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling, Other Check k Check date: Notes: Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 9{ 120 WASHINGTON STREET, 4TH FLOOR a 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 #465-07 DATE ISSUED: 9/20/2007 Property Located at: 12 First Street UNIT# N-804 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 / r 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 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 2r IA MANAGERGENT�cY,,,,p �..,— Q.�'�-�-Q No P.O. Box 1J v No P.O. Box ADDRESS\2- ADDRESS CITY:�\e,Cv KAA _CITY RESIDENCE PHONEtq-J�Z, LJI-4S8 _BUSINESS PHONE (24 NRS )LOn$P, 1`) BUSINESS PHONELCA-)?4 ��`l TOTAL NUMBER OP ROOMS._ ROOM USE iiLcrL _ 2(acc3iv, -rsxar+ ccs THERE IS A TWENTY-FIVE (S25.00) 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 APPLICANTSSIGNATURE9n.f10ji INSPECTORS USE ONLY DATE OF INITiAL INSPECT ION �1�fJ-�'✓ .DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 47 O '0 ? DATE T=EE PAID f� TYPE OF UNIT- OWE[ L'(J'T/„-OTI!ER CHI:;K it --07 NOTES CODE ENF0H,CE!,,1LNT 'NS:'EG1OR 0 SND City of Salem, Massachusetts h Board of Health lu 120 Washington Street, 4th Floor, Salem, PablicHeaith MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-157 DATE ISSUED: 5/6/2016 Property Located at: 12 FIRST STREET UNIT#N-805 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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,-A4Lk--, 1/&Ir�/ Larry Ramdin, MPH, REHS, CHO ' HEALTH AGENT SANITARIAN s CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Publicliealth 120 WASHINGTON SI REEr,4'"FLOOR P e.snt.P ma e.Pro et. TEL. (978) 741-1800 FAx(978) 745-0343 KLNIBERLEY DRISCOLL Iramdinnnsalenaxom Lt\RRl'ltAbII7fN,RS/KEPIS,Cf[Q,Cl'-PS MAYOR HEALTH AGeir'r Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 MINI MUM STANDARDS OF FITNESS FOR HUMAN HABITATION FEE:� � S� S%00 � ) 'B PROPERTY LOCATED AT ' � • S(�t ,�,�n I `S tj+O I C' iTVTT# BLOS IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK_ PLEASE CIRCLE ONE� OWN'ERILESSER 7�W C ��CUIfiS 11 NAGER/AGENT SOQtr\ NO P.O. BOX y ADDRESS 1 �(�it nn ADDRESS SCLY %e CITY, STATE Z1P /V A d 0170 CITY, STATE,ZIP RESIDENCE PHONE C1 79' �45 ' 4A 2N BUSINESS PHONI E(24HRS) BUSDIESS PHONE \"t- TOTAL NUMBER OF ROOMS: ,' H L ROOM USE: 1. �' 2. \ 3. 4. 6, 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AlTHE TLb1E OF LCIS CTI OI t APPLICANT'S SIGNATURE DATE 4 'Iq 'l(, nsDectors use only Date on initial inspection:0 4128/2-M-(� Date of reinspection: Date of issuance of certificate:OW2—�/Wl9 Date fee paid:0511> 2..014 Type of unit: Dw elling_--.,./_Other Check#q 9232022 Check date: 0 M'712-0� Notes: - :i:? Ir9^li:? r'cU uta i�:4:um ltta c � 0137 L7atc Received =uf� /ei/bry�ment��®r c].IsC�IaSG��u2i"`- Co - Batcn i' GL Cade tdGG�1y0 Ammon t.,to paid Approved By f N City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PUa MA 01970 Prevent Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-392 DATE ISSUED: 10/14/2016 Property Located at: 12 FIRST STREET UNIT#N807 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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. J I//YT-sy Larry Ramdin, MPH, REHS, CHO / HEALTH AGENT / �OS ITARIAN G t u, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'"FLOOR PublicHea Ith o Prevent Promote Protea. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinna.salem.com - L[\Iilil'RANIDIN,RS/Rh;l IS,Cf IO,CP-IS MAYOR HRAM'I I AGi;NI' CERTIFICATE OF FITNESS CERTIFICATE#291-13 DATE ISSUED: 8/14/2013 Property Located at: 12 First Street UNIT#N-808 Owner/Agent: Pequot Highland Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-8166 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Cade 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 / Q LARR?`WAMDIN ( � HEALTH AGENT SANITARIAN r, CITY OF SALEM, INLASSACHUSETTS BOARD of HEal.rx 120 WASHINGTON STREET,4"'FLOOR PublicHealth Prrwro'eate Protect Tis.. (978) 741-1800 FAx(978)745-0343 ICMBERLEY DRISCOLL Iramdinna salem.com VL�YOR L:�Iutti�x;�Mro[N,tLS/xExs,C110,<:r-is DHy{E�)A�L�TH AGENT 71213 t3� Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 1 c ,- FEE: S50.00 ^ �y PROPERTY LOCATED AT � Z�1 fSl� HJT v l i T M A 6 -0I I )0 W, PF# (�IS THIS UNIT IDISIG 1NATED AS RIGHT LEFT FRONT dR BAC PLEASE CIRCLE ONF OWNER/LESSER Y � (�I 1 Ypl�f�l 'l\ S MANAGER/AGENT ADDRESS I ��fS� 13v�� /.�1 ADDRESS CITY, STATE, ZIP J VY1 , 1 V \1 ��_ �` I aITY, STATE,ZIP r RESIDENCE PHONE BUSINESS PHONE(24HRS) I , '7 �� `I 0�j �L"' BUSLN'ESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10, THERE IS A FIFTY ($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insnectors use only Date on initial inspection: `1 �� 'I Date of reinspection: I ' Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: 1 ` C7I Notes: Sita Name Pecuott Hghighlands Site# 0137, Purchase Order# %j�pr7_� CoS Batch# GL Code ('.0 q-`l 0 Code En&t`en ejd1nspector Amount to be Paid C r0 Approved By _ ti4 w V i�, kwiktag® 108251134 1111111111111 IN I I IIIIIII 111 w 4Z� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH V 120 WASHINGTON STREET,41°FLOOR PablicPromote.Health TEL. (978) 741-1800 F'AS(978) 745-0343 KIMBERLEY DRISCOLL IxamdinOsalem.com LARRY tzAnlnlN,Its/RF.rIS,c;l-Ri,c:r-rs MAYOR HI?Al xii AGENT CERTIFICATE OF FITNESS CERTIFICATE #481-12 DATE ISSUED: 11/27/2012 Property Located at: 12 First Street UNIT# N-809 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 Y MDIN MOMA- HEALTH AGENT SANITARIAN f, �1 CITY OF SALEM, MASSACI-IUSE'T'I'S III��111 BOARD OF HEALTH 120 WASHINGTON STREET",4"' FLOOR PublicHealth Vrearm Promme Pmko "hEL. (978) 741-1800 FAx(978) 745-0343 KIMBGRLBY DRISCOLL lramdin(a�.salem.com MAYOR LI\ItItY Rr\�iUIN,RS/RI?FIS,CI10,CI'-lS 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 .S4wei &Jem AA 0)C17/I UNIT# IS THIS UNIT DISIGTNATED AS RIGHT LEFFRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ?Cgvo� Ot'e1cv3s MANAGEWAGENT Pleitof 0-'ohlcJS NO P.O. BOX 1 ADDRESS \k 1`if5� S�/tt1 ADDRESS 11 I'o/5} S}vrr CITY, STATE,ZIP W4 M AA CITY, STATE,ZIP S -e m. NOS-OIA7o RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE 01 i �- - J Ns- y ks 1 TOTAL NUMBER OF(ROOMS: 5 ROOM USE: 1.ki� LfbA 2.10cA"m 3. bl."jranvh 4.1D4L( `n 5. he fcvw 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATTHETIME OF INSPECTION 1 APPLICANT'S SIGNATURE Gyy l/'" � DATE Ins_ocetors use only Date on initial inspection: I I a I I Date of reinspection: Date of issuance of certificate: I Date fee paid: Type of unit: Dwelling Other Check#�T D Check date: Notes: Code Bement Inspector A City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, PaWiCHealth 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-17-108 DATE ISSUED: 4/4/2017 Property Located at: 12 FIRST STREET UNIT#N-810 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. e_ jon - Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEINI. MASSACHUSETTS � BOARD or H17'AI F1 120 WASHINGrON SI-FjT r,4°'FLOOR TLiL. (978)741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 INL,YOR Isco r7(as\I.F%I.CUM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." V7- r FEE: $50.00 l PROPERTY LOCATED AT �_ R�� t1`! Q _ I SNIT# ` V IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ? — SQ IQ VVI, L-0 MANAGER/AGENT 3 (J" P--q S S-.1, NO P.O.BOX L ADDRESS ADDRESS CITY, STATE, ZIP X4,VA I M A 01 0170 CITY, STATE,ZIP�^QcIM� I 1 GC RESIDENCE PHONEC--rJ AAA- _ BUSINESS PHONE(24HRS) l 6 -Z��_-`l o O_ BUSINESS PHONE .1AAJ, TOTAL NUMBER OF ROOMS: LA ROOM USE: I. `\ 2. UZ, 3. M& 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE lI' ! Insoectors use onlv Date on initial inspection: q6 q Date of reinspection: Date of issuance of certificate:1i I L411-9-- Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Site Name Pequot-Salem LP Site# 1985 Code nforcement Inspector �9 Date Received �l OX Purchase Order# GL Code I Amount to be Paid Approved By xt.t`1',4 ` l,l.l t,:< Public Health 1;1\4131?RLF'Y I)MSCOU, lr.m\dni ,aAem.com MAYOR Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 11 and Article XII l of the City of Salem Ordinance, undersigned owner/lessor and tenanUlessee 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 he done in my/our absence, I/w'e expressly authorized the same and fir my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. Tenant/Lessee ?ner/kLessor' (Z �1S1 Address Address N -81b Address on unit to be inspected Date Updated 5,123/11 I CITY OF SALEM, MASSACHUSEI"TS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOORPublicHeaIth Prevent.Promote.Protect. TEL. (978) 741-1800 FA-X(978) 745-0343 KIMBERLEY DRISCOLL ILamdin(a( ,salem.com L/\ItRl'Rr\hIDIN,Rti/RI?IIS,CHO,CP-I'S ( MAYOR HFAIX AGENT CERTIFICATE OF FITNESS CERTIFICATE# 119-13 DATE ISSUED: 3/29/2013 Property Located at: 12 First Street UNIT#N-811 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAfRY _ RAMDIN Lr7�"! HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HF_AI,-n-i 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMI3ERLEY DRISCOL.L. FAX (978) 745-0343 MAYOR LRANID NOSH)All OiN1 Lmon,RAMDIN,ItS/RHI IS,010,CI'-ISS 1-IvAjxn A(;ItNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 11 FEE: $50.00 PROPERTY LOCATED AT 1 d �1 +�5 S of evm, /m,4 d i ciT d UNIT# ,N-� IS THIS(UNIT DISIIrGN TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE sONE ( OWNER/LESSER I' ejuv I'L��._1g1�5 MANAGER/AGENT tefW1 1,, +`<b11aNIS ADDRESS �� r �5� Si7ve/f ADDRESS 1 a ('«j5� S1ree CITY, STATE,ZIP Sc I21'h, /41/x- ©l q 70 I,ITY, STATE,ZIP Sc 6ih /1/I4 01'176 RESIDENCE PHONE �f BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF(ROOMS: 5 ROOM USE: 11�-I+IJeA 2.1mt'611A 3.W�164 4.Wl'cte1 5. Lt; 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 ISPAY �LfE`T THE TIME OF INSPECTION 1 APPLICANT'S SIGNATURE �%''� DATE Inspectors use only Date on initial inspection: 3b\a 11.3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: CodV�ent Inspector a � � R CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4!"FLOOR Pl1bi1CHP.81th Yra'cn[.Promom.Profen TEL. (978) 741-1800 Frx(978) 745-0343 KIIABERLEY DRISCOLL lramdinasalem.com LAIt1tY RAAfllIN,RS/REFIS,CFIO,CP-1'S MAYOR HE,\I,'rII AGI NT CERTIFICATE OF FITNESS CERTIFICATE#442-12 DATE ISSUED: 11/14/2012 Property Located at: 12 First Street UNIT#N-901 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 Occu ncy*ITTAIAN FOR THE BOARD OF HEALTH LAR Y RAMDIN HEALTH AGENT r CITY OF SALEM, MASSACHUSETTS + r BOARD OF HE.�I..TH ' ,{ 120 W.\SHINGTON STREET,4...FLOOR "I (�"✓� TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAs (978) 745-0343 MAYOR i.RnnmiN(a UX.M.COM L.;\Itm,R,\MDIN,16/RIU IS,(;I IU,01*S HI'.AI;I'l l A(il'.N'I, Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 17_ F\r5 F ,51 re.e k . - i e.rn MA m4-10 UNIT# t, �1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Pee)xihI H1r�1-\InnKn MANAGER/AGENTpPr>ub4 vlh,3hlnr)d�o NO P.O. BOX ADDRESS 12 FIr,+ .51feP ADDRESS 0- FtrS-k CITY, STATE, ZIP S41r rrn M A hIG'l C) CITY, STATE, ZIP Sale rn, m A MqI D RESIDENCE PHONE l BUSINESS PHONE(24HRS) I Q-I g� 14S-yRg� BUSINESSPHONE (GESS I�\ 1S -�VBF{�I TOTAL NUMBER OF ROOMS: c, ROOM USE: 1.1[,rlrhrn 2.bat'hroo03.beLinmm 4AYdmiDa 5.AL y� 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 4 i, DATE Q I7�1 IL /,/ r// Inspectors use only "Date on initial inspection: I/N Date of reinspection: ( Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check 49 r/" Check date: Notes: Code went pector CITY OF SALEM, MASSACHUSETTS s BOARD OF HEALTH 9, 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 —� TEL. 978-741-1800 �nB FAx 978-745-0343 KIMBERLEY ORISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #597-07 DATE ISSUED: 12/3/2007 Property Located at: 10 First Street UNIT#N-903 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 9 JA:NF- TT, MPH, RS, CHO v HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 I-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 410.400 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATEDAT c\r ` rpo ��fi U�ty 1 UNIT#.\1-� 022 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEA(S�E CIRCLE ONE OWNER/LESSEN _-�Ak_ l� c \<�lw c4S MANAGER/AGENTK--er-�_P f-,r� No P.O. Box 0 No P.O. Box ADDRESS ADDRESS CITY'_::2 v N"-IPr CITY 111 RESIDENCE PHONE �\1 �1� BUSINESS PHONE (24 HRS )l BUSINESSPHONEI TOTAL NUMBER OF ROOMS. ROOM USE: 1( , 2D ;1 8. 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. f APPLICANTS SIGNATURE.��(�, .� e- DATE. INSPECTORS USE ONLY 111 DATE OF NITIAL INSPEC I i01N -5-0. 7 --DATE OF REINSPECTION DATE 0 ISSUANCE OF CERTIf=KATE ,/_JL-3 m D.AT/F FEE PAID TYPE OF UNIT. DN/E_LINCx _ OTHER CHECK CHECK DATE NOTES CODE F_NFOPCEIAENT INSPE(;Ti; yfi coNmx�'10 City of Salem, Massachusetts a ow q Board of Health 120 Washington Street, 4th Floor, Salem, PablicHealth 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 M GHL-15-329 DATE ISSUED: 10/9/2015 Property Located at: 12 FIRST STREET UNIT#N-905 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO ' HEALTH AGENT SANITA AN � I J I • R CITY OF SALEM, T\'L1SSACHUSETTS Bo.kRD OF HE.ILTH 11b1icHealth 120 WASHINGTON STREET,4"'FLOOR PPrevmc Promou Prctet Ith TEL. (978) 741-1800 F.ux(978) 745-0343 K12MBERLEY DRISCOLL lramdin(a..salem.com VLIYOR LARRY R NDIi 1,ILS/RHHS,CHO,C'-PS HEALTH AGliNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SAINITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" + 1 FEE: $50.00, PROPERTY LOCATED AT t T WAC" Iv t `f UNIT# t\)-qo5 ISS THIS UNIT DISIGYA 1TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE SE OWNER/LESSER �""1LO �\ClY1�S MANAGER/AGENT VOCEI \ �tJlSSe,I NO P.O. BOX L VVV ADDRESS 7 _F�v �l A A^ -7 ADDRESS-- — — 1C0-AP _-- - rO R / CITY, STATE,ZIP S � CITY,STATE, ZIP /V A-1 , RESIDENCE PHONE q 1 Z' 7 5 ' 41 �j L4 BUSINESS PHONE(24HRS) Sa ✓�`-� BUSINESS PHONE Q-4uYh-I- TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. VAT 2. 3. 134. JIJRZ- 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OFF ISSPECTION APPLICANT'S SIGNATURE /�/ �- DATE v% - Inspectors use only Date on initial inspection:0 /2'4/7-09-5- Date of reinspection: Date of issuance of certificate: 0 91?1)-n15 Date fee paid:��OS/2DZS Type of unit: Dwelling--V—/ Other Check O11-yin Check date: 511SIZ01-S- Notes: n i J6 Fq i 7✓ ,mA Peouolt A-ghlarnds site# J Vii Date Received --�� +� — Purchase Order# Co o ement ector Batch GL Code Amount to be Paid Approved By _ CITY OF SALEM, iV1ASSACHUSETI'S BOARD OF HF-,u:rH PublicHeedth 120 WASHINGTON STREET,4"'FLOOR rt ene.rvumuee rromai. TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLI, iramdm n,salero.com I.ARRl'RAhIDIN,RS/REkiS,CI tU,CI 1 S MAYOR HEAITH AGE\"r CERTIFICATE OF FITNESS CERTIFICATE#35-13 DATE ISSUED: 1/29/2013 Property Located at: 12 First Street UNIT# N-907 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3,Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 130ARD.QF HEALTH � 9 LARRY RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 3� 3 3. lea. BoMM or HI?ALCH 120 WAsHic.t'oN S`t'xi T.r, I"'Ft,00R TES.. (978)741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 NLYOR srorr n s. .raf.com JOANNE SCOTI', HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT � a I-,rS� S� Yft� Sal,rvMI /V4 r,►G70 UNIT#AL-107 IS THIS rYIUNIT tD`ISIGNATEDAS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ,ONE Sj OWNER/LESSER Ifqvo r 1Gl(n 1CAJ S MANAGER/AGENT r CT14 tl IG�eI S NOP0.BOX 1 J ADDRESS �a F fc y S4reJ ADDRESS la r lrs'� S Yrr CITY, STATE, ZIP S G I P M, /VVT O )C170 CITY, STATE,ZIP Sc I P vh. IVIA- Ci°174 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE CI-A-- TOTAL I7 Af'TOTAL NUMBER OF ROOMS: I 1'S ROOM USE: - Lft 2.Vp1parA 3Ay1,jftjavvi 4.brArww 5. b-�tyVM 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE G DATE Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: 1'LQ^N1Jll Date fee paid: Type of unit: Dwelling %,— Other Check#_( Q4,d l Check date: Notes: Code Enforcement Inspector • CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET 41 'FLOOR Pub1iCII68Ith STREET, Prevent.Promote Proem TEL. (978)741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinOsalem.com L.\RRY R,\MI)IN,RS/RF.1-IS,<;110,CP-FS MAYOR HV.,\LIl I AG r,N'f CERTIFICATE OF FITNESS CERTIFICATE#30-14 DATE ISSUED: 1/28/2014 Property Located at: 12 First Street UNIT#N-912 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH L- MDIN HEALTH AGENT SANITARIAN ' CI-r1 pF C_A_LEti2, M_ASS:?CHUSETTS �> BOARD OF HEALTH PublicHealth J" 120WASHINGTON STREET,4'FLOOR rre.evt.P- Frotcut TEL. (978) 741-1800 F.\x(978)745-0343 KEMBERLEY DRISCOLL lramdm@salem.com �LYOR LAltlil'I2AbDIN,RS/RENS,CHO,(T-NS HEALTH AGE.N'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MII`IIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" r 1 ' FEE: $50.00 PROPERTY LOCATED AT 2 ` I �S 7 S} ��rV N °l l 2 IS THIS UWIT DIISIGNATED AS RIGHT LEFT FRONT OR'BACK PLEASE CIRCLE ONE O`V�ER/LESSER Fe-61 UU { MANAGER/AGENT NO P.O. BOX r ADDRESSS�� /`� Y t nADDRESS CITY, STATE,ZIP 5AI t lr 1 n2 O I q 0 CITY, STATE,ZIP r ' ��/ / RESIDENCE PHONE BUSINESS PHONE (24HRS) 1 �C N S— `1 �O-/ Q IJ Site Name 7 4 015,1 BUSIVi�ESSPHONE I —R-745 - ' � L/ Site Pe4cotHighlands Date Received I B �7 TOTAL NUMBER OF ROOMS: Purchase Order# f ' n n Batch# ROOM USE: 1. r—1 ` 2. �� 3. �I` 4. 66-2 j GL Code = 6 7 g 9 ton aunt to be Paid '� u -NNiuveuBy THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ABLE AT 0 INSPE TION APPLICANT'S SIGNATURE DATE Insnectors use only Date on initial inspection: "Z Date of reinspection: Date of issuance of certificate: 'ZP" ate fee paid: ,y Type of unit: Dwelling l✓ 01 Check 9 / dheck date: Notes: 4�G�f/V W` - Code Enforcement Inspector '� • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCREENBA1JMn.SA1,EM.00AI DAVID GREENBAUM,RS ACTING HEALTI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#73-11 DATE ISSUED: 3/14/2011 Property Located at: 12 First Street UNIT# N-1002 Owner/Agent: Pequot Highlands Address: 12 First Street CityfTown: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 Ahm" d�-- DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEiNI' y INIASSACIIUSETTS BOARI)01 11,:AI:ri-I I' � 120�\%; : � • . ttil uNc'ron S uer.t:'r,d"'F1,rloR � 1'r.1.. (978)741-I80U 1QMBE'RLF.Y DRISCOLL 1',\X (978) 7450343 NLYOIt srl rrrns,v.Icai.CCI -t i .JOANN Id SC0'1'1', H1�'AUI'II(;[?N'1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITAIION." y � __ FEE: $�(5v0.00 77 PROPERTYLOCATEDAT Le, 7" 5k YiT�Pf XiylPv✓7 AvIJ� 14157"6 UNIT#1Aj--/MZ IS THIS UNIT'DISIGNATED AS RIGHT LEFT rRONT'OR BACK,PLEASE CIRCLE ON�E�/ / OWNER/LESSER P11-V1 G dlf lh �/?"6/_S MANAGER/AGENT Alte/I.SS'C !xll 211.1 Gl NO P,O.BOX 1 v 1 ADDRESS 149, 16-4q t �!t ADDRESS CITY, STATE,ZIP �l Gt 16-4 I , lulFh ` �✓� CITY, STATE,ZIP r RESIDENCE PHONF . c/ _ BUSINESS PHONE(24HRS) l�T 17 `t CI 0 BUSINESSPHONE f TOTAL NUMBER OF ROOMS: , ROOM USE: Lk /&17�v7 ?.L irL? 7 3.C�l a/ZDYrl 4 r t7ZYr7 5. czln�7✓ 6. 7. 8. 9. ]0. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO T13E CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OFF INSPECTION // JJ APPLICANT'S SIGNATURE r e.�f � �r —�" DATE (ire 1,1,5 14.5 r 1lnsnectors use oniv Date on initial inspection: v< �tI! Date of reinspection: Date of issuance of certificate: Date fee paid: II (1 "Type of unit: Dwelling OtherCheck#f O 0 Check date: �!�1 1 Notes: Code ?nforcementInspector CITY OF SALEM, MASSACHUSETTS + * BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIWERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENIJAI JMn0 SALEM.CoM DAVID GRjT,NBAUDI ACTING Hr,,AL.11-1 AGRNT CERTIFICATE OF FITNESS CERTIFICATE# 194-10 DATE ISSUED: 4/28/2010 Property Located at: 12 First Street UNIT#N-1003 Owner/Agent: Pequot Highlands Address: 12 First Street City[Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 D VID GREENBAUM ACTING HEALTH AGENT CODE ENFOR MENT INSPECTOR .x 1 CITY OF SALEM MASSACHUSETTS I n BOARD or HF.AI;I'II y 120WASII1NC'rC1NS'il2P.lA 41°FLOOR Tia.. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 MAYOR srcrrrrs, i.ral COAI JOANNE'SCOTT, H1SALrI T Ac L:N'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT I a 4-e .�c lam 1 `Q U\ 1)0 UNIT# N-�/ !� IS THIS UNIT 1DISI IGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE c 1 OWNER/LESSER �Pr-._11r C Nl�l`�`��)`; MANAGER/AGENT NO P.O.BOX V11 I I J ADDRESS I V'')r,5' Si V-Pe-V ADDRESS CITY, STATE, ZIP \e-t l f I_A CITY, STATE,ZIP k )\�� RESIDENCE PHONE X )! A BUSINESS PHONE(24HRS?�(9�s) )`Ic)� - BUSINESS PHONE c -- �kSSL� i TOTAL NUMBER'/OF ROOMS: S ROOM USE: L Fhlken 2.L Vingrc B.D 1 4.RDC�Coonl 5. (-)rboTy 6. 7. J 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME SPECTION APPLICANT'S SIGNATURE ��LGe/1 / 2P� DATE //'7/4D / Inspectors use onlv Date on initial inspection: Y/a / Date of reinspection: Date of issuance of certificate: qA g Date fee paid: /]]a /fib Type of unit:�we-llline v"Other Check# A 6 S / Check date: q7/.? h D Notes: a n I� 2 i Amdat k. +-0 ) nr.k C de forcement Inspector r CITY OF SALEM, MASSACHUSETTS BOARD OF HF-ku vl 120 WASHINGTON STREET,4O'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRHI?NBAUM(@SALEMLCOM DAVID GRu'.FNRAUMf Ac'I'M; H FA L'fl T AG HNT CERTIFICATE OF FITNESS CERTIFICATE#359-10 DATE ISSUED: 7/30/2010 Property Located at: 12 First Street UNIT#N-1006 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 T,H'�/E BBOOARD OF HEALTH I d ziz"� DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR g� CITY OF SALEM, MASSACHUSETTS �6 rf BOAR )OF HILALTI I 120 WASHING IDN S'I'Iwv 1' 4...F1,001z TuL. (978) 741-1800 I IMBERLEY DRISCOLL FAX (978)745-0343 MAYOR Isco rl'r)S,V RDI.CONI JOANNE SCOTF, I-11.1AL17 i A(;7-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 1 a I f j ��i22� C,*-1, 1�P� i14a r,'`00-)n UNIT#K Irx,Go IS THIS UNIT DIS\IGNATE1D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER�@-C{.)CT Ft �U\c CV1c MANAGER/AGENT Aer�rne NO P.O.BOX ADDRESS 1 � F i;S� 1��?4 ADDRESS IJ% CITY, STATE,ZIP ScAe yy-1'A-�N CITY, STATE,ZIP RESIDENCE PHONE k-)IA BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OFROOMS: S� ROOM USE: L�jV 1T(� 00 2. 1 JkA 3�� Zf.�\ eO 5.�BPv 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIF INSPECTION r 6 APPLICANT'S SIGNATURE i p/.I At M e CDATE Inspectors use only Date on initial inspection: —7/0/5 Date of reinspection: Date of issuance of certificate: —7130116 Date fee paid: —7 /30/0 Type of unit: Dwelling Other Check# q1 05SS Check date: 10 ig��O Notes: Code Endo ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KINIBERLL:Y DRISCOLL FAX(978) 745-0343 MAYOR 11)(auaisN13AUNi rr7i SAUa<NI.cONI DAvD GRIiF:NRiW 6i,RS ACTING WAL'ni AGI?N,r CERTIFICATE OF FITNESS CERTIFICATE#589-10 DATE ISSUED: 12/22/2010 Property Located at: 12 First Street UNIT# N-1007 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-4884 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 /per AV�I EENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CIT)7 OF SALEM., :n2A SSA_c1-1 USE-4 TS �;� irrPl 13r,•ucl, �tl llr::�l:rii "�tim�t 1:?O1�':\suuvtercm5ritr:r:r 4'°I�ia ,cnt 71;I.. (978. 74"lSi 046me Pequot Highlands 1 INf131:L1 L1?)'DR1SCClLL JF\S (978) 7zF,%t0* 0137 Jb1;\1'Ult N(() rf?P ,A1. MQate\IReceived Purchase Order# lunnmu•;SO)TI)Tr, Batch# GL Code I 11::\crl i Iia i•:n Amount to be Paid Approved By 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 AT1�, t jf 4�—�� SJGf�� J(/jf{ LIJ�/ �(� UNI,T# t1-100 � IR THIS UNIT D])SIGNATR/D AS RIGjHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE ,/ J OV✓NERJI,ESSER I¢(/� Y � 'lG l2�Y MANAGER/AGENT 1�11�GIS�C Nl%�Z�uGCYI NO P.O. BOX 777 7 ADDRESS ADDRESS CITY, STATE,ZIP 11 11-4,711. . �� f 72'-LAI CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE. TOTAL NUMBEROF/ROOMS: S ROOM USE: 2.+Itr1"1�f�NI3.1ocfl� t 4. o<fGn� 5. <i4tlZL�? 6. 7. S. 9. 0. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TEE CITY OF SALEM BOARD OF HEALTH TI IIS FEE IS PAYABLE AT THE TIME OF INSPRCTION APPLICANT'S SIGNATURES �a,-z,44 DATE /2-1 rIl w Inspectors use only Date on initial inspection: I aI)aa Date of reinspection: Date of issuance of certificate: /,3� 1A, i //U Date fee paid: Type of unit: Dwelting— V,Othcr Check#-91�—) Chcck date: Notes: Cane Rnfo cement Inspector I L OOND City of Salem, Massachusetts 1P Board of Health 120 Washington Street, 4th Floor, Salem, PablicHea Ith MA01970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-162 DATE ISSUED: 5/13/2016 Property Located at: 12 FIRST STREET UNIT#N1008 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 e e Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4m FLOOR Pllblicl<Iealth STREET, Prevent.Promote.Protect TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdinnn.salem.com MAYOR - LARRl�[�AnmtN,xs/REHs,cE[o,Cr-t s HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.0//0-- ''__^ ��/� �/� PROPERTY LOCATED AT �l �S� • i �Y,l L�Y�/, Il r/ O/"/ 7D UNIT# IS THIS UNIT DISIG1NA1TED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 78- AW - �Y�. dJAAS MANAGER/AGENT 3Sa.� NO P.O. BOX 1 ADDRESS _ SSI Ap �7 ADDRESS ISGLIVIAQ CITY, STATE, ZIP SWM , AIA 0101 /0 CITY, STATE,ZIP s�t RESIDENCE PHONE � 1 '9' 7` 5 ' Zt a L4 BUSINESS PHONE (24HRS) S� L BUSINESS PHONE C--C� TOTAL NUMBER OF ROOMS: ROOM USE: 1. e, T 2. 3. 'J� 4. get- 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 1 OIC INSPECTION APPLICANT'S SIGNATURE / � DATE Inspectors use only Date on initial inspection: 2/-2nl. Date of reinspection: Date of issuance of certificat �� 7�L(� Date fee paid: ��Z7� Type of unit: Dwelling Other Check#9a91?D12 Check date:OL//�7/2n1(- Notes: 1 ' Site Name t equut niynmuJo Site# 0117 Date Received C d of cemen�t' ector Purchase Order Batch# GL Code Amount to be Paid Approved By _ r CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAQ; (978) 745-0343 MAYOR DGRFF:NBAUN1naSAI.P:N1.coM DAVID GI2li11NRAUM ACTING HEA]m I AGENT CERTIFICATE OF FITNESS CERTIFICATE#95-10 DATE ISSUED: 2/26/2010 Property Located at: 12 First Street UNIT# N-1009 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 W�Aj DAVID GREENBAUM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF I lUALTl i 120 WASI-IING TON S'rRr.i.:T 4"'Fl.00lt Tul.. (978)741-1800 IUMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR sarrr(a)sm.vm COM JOANNE SCOTT, I Ir Al.:1'H AGl}: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 y PROPERTY LOCATED AT Q IS THIS UNIT'DISIGNA(TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERPa ��i� hliCp� �1C ✓�C�S MANAGER/AGENT P. NO P.O.BOX / S ADDRESS 1 Y ,'�� SYCe�� ADDRESS ki CITY, STATE, ZIP , �C ��VYI l 1-1 A ��1�1 �� CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)C o,�F BUSINESS PHONE(9 )S) '?(I.°�- N '� i TOTAL NUMBER OF ROOMS: ROOM USE: 1.� Y( �12: n 3. L J 4.1dCaXY15CfJrc>,Y) 7 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THEETTI PECTION QAAPPLICANT'S SIGNATURE aPYt/Yt LJ.O✓ _ JLIDATEQ Inspectors use onlv Date on initial inspection: � Lt /�0 Date of reinspection: Date of issuance of certificate: r� 'a(o //6 l�y Date fee paid: )IaI(P I/C) Type of unit: Dwelling_�Lthey Check# c!jd U51O 9 ria Check date: b U Notes: C End foldment Ins ector p • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WA.`SHINGTON STRF.Er,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR WR1:VN1jnuM0LSA»M COM DAVID GRL•ENBAum AC19NG HEArn-i AGENT CERTIFICATE OF FITNESS CERTIFICATE#609-09 DATE ISSUED: 11/30/2009 Property Located at: 12 First Street UNIT#N-1010 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4864 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 Ir 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-isvalid only 9 there isavalid Certificate of Occupancy. FOR THE BOARD OF HEALTH AV�EENBAUM �1..� ACTING HEALTH AGENT CODE ENFEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 1 �a Bowcn or Hiam;n-i 120 WASrnNc'rON S'rai-. ,-1, 4"'FLOOR Ti;].. (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR 1s(X) TrisALM10.COM .JOANNE SCOTT, I-I e;;\Lrl i ActsN'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 ( f/� A XII HA d�C! )n UNIT# PROPERTY LOCATED AT )2 I'i t'S t?P. 11 e-Y�'1 �1U IS THIS UNIT D11,SIG-N^A,,T(ED AS RIG IiT LEFT FRONT OR BACK,PLEASE CIRCLE ONE I OWNER/LESSER�PC�_i�c tT �+\`CA6�r�� MANAGER/AGENT �PC�\r)I'1P Si t P NO P.O.BOX V U ADDRESS I� ��5�t ��rQ ADDRESS CITY, STATE, ZIP .X�`� 1 � C-)\q' � CITY, STATE,ZIP y.� h r ' RESIDENCE PHONE I�I BUSINESS PHONE(24HRS) BUSINESS PHONE 97S{ �CJS� s i TOTAL NUMBER OF ROOMS: ROOM USE: 1. YlA2. LJ(Yl3 3. \J4fo1,N.1�Je�l oc n 5.bl-CJr.l 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE T O PECTION APPLICANT'S SIGNATURE /e t InALQ_ S) DATE 14 Insnectors use only Date on initial inspection: I I A6/G 9 Date of reinspection: Date of issuance of certificate: II AO/O 9 Date fee paid: /11301,12 Type of unit: Dwelling Other Check# g9a�ga Check date: /Q��fol0 g Notes: Code fo ement Inspector c ► R CITY OF SALEM, MASSACHUSETTS 10 BOARD OF HF:U TH 120 WASHINGTON STREET,41°FLOOR PublicY3eAIth TEL.. (978) 741-1800 FAS (978) 745-0343 KIMBERLEY DRISCOLL hatndin(a�.salem.com L,AIatA R,AnroIN,RS/RF a is,ci 10,cr-Fs .MAYOR HJ'✓Al:I Y I AG I SNf CERTIFICATE OF FITNESS CERTIFICATE #376-12 DATE ISSUED: 9/14/2012 Property Located at: 12 First Street UNIT# N-1012 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 upancy. FOR THE BOARD OF HEALTH LARAMDIN HEALTH AGENT #AITARIAN .�� CITY OF SALEM, MASSACHUSETTS ' �� BOARD OF HEALTH � 0 120 WASHINGTON STREET,4p'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR 1.RANIDIN(RC S U�EMAX)NI L\RItY RAmmN,RS/RP.f f5,Clio,CP-PS H@,.m:nf AGf':N"1' 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 r2- t- I P-S'S ST Ail I-q- UNIT# N-(0 l 2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER fe -uat LIi�Ufftk NA ERI AGENT NO P.O. BOX f' ADDRESS ADDRESS CITY, STATE,ZIP IMA d /`l 7 O CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ` ROOM USE: I. k4ckeVI 2, tivi iy Aruu 3.Mrorc , 4..6,-dm57n 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 P 7AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE ,— /J� Insroectors use onlv Date on initial inspection: �l��iC/ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling------Other—Cheek fiC H J I S Check date: Notes: Code,an Spector W`oNDW4 .a City of Salem, Massachusetts Board of Health 120 Washington Street 4th Floor Salem �Heatth MA 01970 ' ' ' Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CH4 Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-272 DATE ISSUED: 8/30/2017 Property Located at: 12 FIRST STREET UNIT#N1102 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 ✓ r HEALTH AGENT SANITARIAN if CITY OF SALEM, ILkSS ACHUSETTS \ n_ BoUtDorHrm:tH 120 V'ASHING ION S IRI a:f,-r FLOOR TEL. (973) 741-1300 KIMBERLEY DRISCOLL F.vt(978)743-0343 INLAYOR isrorrrs rr rxf.Cod[ JOANNE SCOTT, HEAL.TII AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 MNIMUNI STANDARDS OF FITNESS FOR HUMAN HABITATION." /R �JeJ( FEE: $50.00 * t PROPERTY LOCATED AT ^L 66 SSI I - UNIIT9 IS THIS UNIT DISICNATED AS RICHT LEFT FRONT OR BCI:,PLEASE CIRCLE ONE OWNERiLESSER ?t°�)l/ ('1 — SA �f Vv1 NLANAGER/AGENT a00-0 R-(&SS- NO P.O.BOX A ADDRESS ADDRESS CITY, STATE,ZIP �p , �. I M A °t-7D CITY, STATE, RESIDENCE PHONF' ?(J AM--P BUSINESS PHONE(2IHRS) BUSINESS PHONF ��l AAA -, TOTAL NUNBER�O//FROOMS: � �`I J ROOM USE: 1. P_,-4- 2`,Q 3. &JVW1 4. U0. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insnectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check k Check date: Notes: Code Enforcement Inspector City of Salem, Massachusetts r ►. Board of Health 120 Washington Street, 4th Floor, Salem, Pl WiCHealth MA 01970 Prevent.P Omote. Proust. 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-17-326 DATE ISSUED: 9128/2017 Property Located at: 10 12 IRST STREET UNIT#N1103 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)745-4884 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. nn Larry Ramdin, MPH, RENS, CHO v p HEALTH AGENT SANITARIAN 'R CITE' OF SALE-N- 1, LNLISS3CHUSETTS a' R` Bo UG)of Hi'AU:i ki ycr,, 130 V'ASlnNcr0-.Stx :I.r,4"FLOOR TLi- (973)741-1800 KINBERLEY DRISCOLL FAX(978')745-0343 KALYOR I«:orris v rv.COSI JOANNE SCOTT, H E_\LTI-I AGENT Application for Certificate of Fitness Civ ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 Ci\[R 410.000 hIINI�IIJM STANDARDS OF FITNESS FOR HUTAAN HABITATION." r cFFE_E: $50.00 PROPERTY LOCATED AT 12 Cl (S T fl -e�t UNIT;; IS THIS UNIT DISIGSATED AS RIGHT LEFT FRONT OR BOCK,PLEASE CIRCLE ONE OW,\rER/LESSER e t,(1 0J — Sa �P WI L-P F,LANAGER/AGENT RvAS S-a[ NO P.O.BOX �,/ ADDRESS I Z F>+*tS �I' F Q/� ADDRESS cS�w`� CITY, STATE, ZIP<, _ R)AA 1 M A 6 '17 0 CITY, STATE,ZIP RESIDENCE PHONE�((�AA--Q_ BUSINESS PHONE(24HRS) BUSINESS PHONNF 4) AJ, TOTAL NUMBER OF ROOMS: ROOMUSE: 1. 2. LV- 4. l5CArw. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALETNI BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF RNSPECTION APPLICANT'S SIGNATURE DATE Insoectors use only Date on initial inspection: Dat-of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwellinv Other Check k Check date: Notes: bite ivame Pe uot•Safen, LP �___� Site k tggg Date Received Code Enforcement Inspector Purchase Order k GL Code Amount to be Paid Approved By f GOND _ City of Salem, Massachusetts L 3 y Board of Health 120 Washington Street, 4th Floor, Salem, Puth MA01970 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-17-157 DATE ISSUED: 5/31/2017 Property Located at: 12 FIRST STREET UNIT#N-1103 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. &Je 2YZ0/44 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN r J r � CITY OF SALEM, NL-�SSACHUSETTS 120 WASHING IONS VRI:in' 4'}'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 N'IAYOR 1�c=Os a Fu.CONI JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" � FEE: ,$,5n0.000 / r � s' PROPERTY LOCATED AT ( � C \ \ 11 UNIT# N—I IS THIS CHIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ? — SA �P IM �--� MANAGER/AGENT (JO—Vl PAkSWI NO P.O.BOX ADDRESS 12 F,+'rSp � �s4r ADDRESS S out CITY, STATE,ZIP��! X l f/�il I M A 61 o 70 CITY, STATE,ZIP �awl_o. f RESIDENCE PHONE' L-6 A A-�- BUSINESS PHONE(24HRS) BUSINESS PHONE (Q.lM L TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. 2. LL 3. 6C1-(W- 4. &M5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insoectors use onlv Date on initial inspection: S-/311//2-017 Date of reinspection: Date of issuance of certificate: 5�tI12017 Date fee paid: 51.13-12tl. Type of unit: Dwellin-,�Ae/ other Check#f)(1(}0 Check date: 5/%0/201 7 Notes: glfe Mame Pequot•Salem LF klt2 a 1985 /a /nrement Ins ctor Oete R®C81Ved PuMheoe Order# OL Code ,Amount to be Paid Approved By .. n City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, R Ith Prevent. Promote Protect MA 01970 Kimbedey Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ratndin,MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-256 DATE ISSUED: 612412017 Property Located at: 12 FIRST STREET UNIT#N-1104 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(976)745-4864 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 li"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. L' 41 Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIAN CITE' OF SALEM, L\L-�SSACHUSETTS Bo\RD OI'Hi AIA 11 ,far 120 WASHING VON S IRI:L:r,4'H FLooR TLI- (973) 741-1800 KIMBERLEY DKISCO1 1, FAX(978') 745-0343 INIAYOR iv o=(aS v.rm COM JOANNE SCOTT, H E_�=I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NININIUM STANDARDS OF FITNESS FOR HUZMANI HABITATION." I c FELE:: $$50.00 PROPERTY LOCATED AT YST J1 UNIT9 IS THIS L IT MSIGNATED AS RIGHT LEFT FRONT OR BOCK PLEASE CIRCLE ONE OWNb ER'LESSER �P�I� Iii– – Sa �P wl �—p NLANAGER/AGENT �T(ULL.V) NO P.O.BOX ADDRESS I Z F1PTS^p �,, �I' ADDRESS CITY, STATE, ZIP i M A CITY, STATE,ZIP SaV^-O RESIDENCE PHONF G1 A m-.Q _ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER fOFF'R(OO&IS: n /� Q ROOM USE: 1. I✓l C 2. U— 3. Irl' K 14. IZ11��5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR NIONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATF Inspectors use only Date on initial inspection:M 11-7 Date of reinspection- Date of issuance of certificate: 220-./ Date fee paid: Type of unit: Dwelline V, Other Check 900an Check date: Notes: *dfo ent [ns ctor �No City of Salem, Massachusetts f � m Board of Health 120 Washington Street, 4th Floor, Salem, PabliCHe8lth MA 01970 Prevent Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-190 DATE ISSUED: 6/29/2017 Property Located at: 12 FIRST STREET UNIT#N1106 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. L( P J A Larry Ramdin, MPH, REHS, CHO v ✓ Y HEALTH AGENT SANITARIAN R'. CITY OF SALEM, NLS SSACHUSETTS BoAIu)of HI-*AI:I H 120WASlmcroNSITJA r 4`FLOOR TEL_ (978)741-1800 KIMBERLEY DRISCOLL FAX(978)743-0343 IVLIYOR Iscorr(a's v rat.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." ii� c�F�LE,E:_�$50.00 PROPERTY LOCATED AT 7— �T Sfl e-� UNIT# N-I U IS THIS UNIT DISIGNATED.AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ? - SGr �P VVI I— MANAGER/AGENT J (Ja- 1 P-4&S S-I,l NO P.O.BOX c y� ADDRESS ADDRESS CITY, STATE,ZIP 0-�,rt" Y V` A 61 '�7 U CITY, STATE,ZIP— Qaw- - RESIDENCE PHONE C�/J' IM Q_. BUSINESS PHONE(24HRS) 7 p -Z�� - LA BUSINESS PHONE �L TOTAL NUMBER /O�F. � � p � ROOMS: 11 1 ROOM USE: 1. l( 2. 3. W . �CUrKv 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Insoectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling, Other Check k Check date: Notes: Code Enforcement Inspector y �CDND City of Salem, Massachusetts f g a 9l Board of Health yo 120 Washington Street, 4th Floor, Salem, PubliCIiP,alth MA01970 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-17-221 DATE ISSUED: 7/27/2017 Property Located at: 12 FIRST STREET UNIT#N1107 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 I� I CITY OF SALETI, MASSACHUSETTS BoAtu)or HE'AI TH °goo 120 V'ASHINGTON S'Ixr.I.T 4"FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 NLN Y0R Isco-i-r(as.u.r\[.COM JOANNE SCOTT, HEALTI-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." q c y FLEE, ,, FEE: $50.00 PROPERTY LOCATED AT 1 Z r 1 YS'1 SI / a UNIT# I—Rb IS THIS LNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Pee ) 1 4- - SA if lvvl L-P MANAGER/AGENT � 061-0 PA&SS-d d NO P.O.BOX p ADDRESS 12 'F,PrSSK� c ADDRESS "V--e- CITY, STATE,ZIP��r1 )4),AA I M A 61 '�70 CITY, STATE,ZIP RESIDENCE PHONE�J AAS. BUSINESS PHONE(24HRS) BUSINESSPHONE TOTAL NUMBER OF ROOMS: I pp I N, "" ROOM USE: 1. 2. � &A AAA-AAA- 4. 6 W " 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: I Site Name Pequot•Salem LP Site# 190 Date Received 1_7 lQ r(7 Code Enforcement Inspector Purchase Order# 1��l �ZSS2 GL Code --�— Amount to be Paid hl aoproved By ��_ u ¢ CIZY OF SALEM, MASSACHUSETTS 10 Boi_1 OF HE-\LTI-[ 120 WdSHINGTON STREET,4...FLOOR PublicmHea Ith TEL. (978)741-1800 Fas(978) 745-0343 KIMBERLEY DRISCOLL kamdinaa sa1'em.com - L,\Rltl'RA6IDIN,RS/RF.hIS,CI 10,(;P-ISS MAYOR Hi;m, I'rf AGENT CERTIFICATE OF FITNESS CERTIFICATE #410-12 DATE ISSUED: 10/15/2012 Property Located at: 12 First Street UNIT# N-1108 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 BO RD OF ALTH LARRY RAMDIN HEALTH AGENT SANITARIAN � C,ITY OF SALEM, IVIASSAC;HUSE'ITS " BOARD OF HEAum PublicHealth1 120 WASHINGTON STREET' 4'FLOOR Nrcrvnt P-omntc N�oket. 'r L, (978) 741-1800 FAX(973) 745-0343 KIMBERLEY DIUSCOLL barn in salem.com ibZr1YOR L RRY RANII>IN,RS/RVI IS,010,(.P-FS I-IF,ALTI I Ac;l'dN'C Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN I{ABITATION" FEE: $50.00 PROPERTY LOCATED AT � h11A S-} UNIT# /� ��CJfI IS THIS UNIT DISIGNATED AS RIGHT LEFT FROM OR BACK,PLEASE CIRCLE ONE I OWN-ERILESSERIC u �r,n S MANAGER/AGENT_. i.��r� �1��u S NO P.O. BOX _ ADDRESS U i'l(J .S+ ADDRESS a 1-14 St CITY, STATE,ZIP CITY, STATE,ZIP We m /M- 01970 RESIDENCE PHONE BUSINESS PHONE (24FIRS) C1 1 Ss- -7 LK-- L4 k&q BUSINESS PHONE t TOTAL NUMBER OF ROOMS: ��_� "1 ROOM USE: 1. k t1 2, QPA 3, 4. 1,ukrcA 5. 6. 7. $, 9. V 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY LLEE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE L �i��f'iar DATE 10 Inspectors use only Date on initial inspection: s ��'L Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling —Other. Check# Check date: Notes: CC- t Inspector • @ r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET 4"'FLOOR pllb)IiCHCB)«1 > Prevent Promote Protect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin(a.salem.com L,\]tltt'K,\MDIN,RS/KEPIS,CI 10,CI)-I+S MAYOR HE,U.TI I AGENT a CERTIFICATE OF FITNESS CERTIFICATE#99-14 DATE ISSUED: 3/28/2014 Property Located at: 12 First Street UNIT#N-1110 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 444 RAMDIN HEALTH AGENT SANITARIAN �h • 4 tr ') CITY OF SALEM, M_gSSACHUSE'ITSl �I Bo.-ARD or HEALTH PublicFleal#h 120 WASHINGTON STREET,4� FLOOR Prom,:, te„ TEL. (978) 741-1800 F.\Z(978) 745-0343 I IMBERLEY DRISCOLL lramdinnsalem.com MAYOR LARRY RADIDIi 1,RS/IiL:FIS,C1 10,CP-PS HEALrf-I AGENT ©3a1a01H I37 Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" 1' FEE: $50.00 PROPERTY LOCATED AT h�l✓moo r�i I^ ' t D IS THIS UVTT` `DIISIG\NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER PZAUCik I v�l��S MANAGER/AGENT 300-A NO P.O.BOX I/ ADDRESS 1 1�(� ADDRESS CITY, STATE, ZIP /VYt �� l�D CITY, STATE,ZIP RESIDENCE PHONE p / n�l BUSINESS PHONE (24HRS) BUSFNESS PHONE D I J I LS O"I TOTAL NUMBER OF ROOMS: LA ROOM USE: 1. K. V 2. 3. uJ�, 4.6-2— 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 THISFE S PAYABLE AT THE PE 101 2 APPLICANT'S SIGNATURE l�Il I/ DATE Inspectors use only Date on initial inspection: !/Y/ /k/ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: 7u'? S Site Name Peauct Highlands Site# YT --- Date Received 31a K I I L Purchase Order# Batch# Cod rce ent Inspector GL Code (19 ;-61t� Amount to be Paid $ pU Approved By �_ City of Salem, Massachusetts � 3 Board of Health 120 Washington Street, 4th Floor, Salem, PI1b�cHealth Prevent.Promote. Protect_ MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH,REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-370 DATE ISSUED: 1013112017 Property Located at: 10-12 FIRST STREET UNIT#N1112 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(878)745-4884 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. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. a-4� Larry Ramdin, MPH, REHS, CHO ti r HEALTH AGENT SANITARIAN CITY OF SALEM, ?%L-�SSACHLiSETTS ' R` Bo vuD o: H,'m i H :'4 �•,i 130 Cc ASI-fISCCON St;L:ta,-4 - Fwoit TEL.(978) 741-1800 KINE3ERLEY DRISCOLL F. \(978) 74.3-0340 NLkYOR 1s,'-077-FS Nf FV COSI JOANNE SCOTT, I-IE_\L.TI-I AGENT Application for Certificate of Fitness IN ACCORDANCE NNTTH STATE SANITARY CODE, CHAPTER 11, 100 Ct\a 410.000 "NIINIMU-M STANDARDS OF FITNTSS FOR HU,\IAN FLABITATION" I FEE: $50.00 PROPERTYLOCATEDAT Z YST 5� � _ rPNITm IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR B%CK.PLEASE CIRCLE ONE OW NERfL ESSER ?f q,ll (+ — CA e VVI- L—r ,!ANAGER/AGENT �YUAC VI RA4S-e't t NO P.O.BOX v ADDRESS I Z F,r�t S� �(C C/1 ADDRESS S CITY, STATE, ZIP �rz� �n�l 1 VtiL U X1-70 CITY, STATE, ZIP �6-t . I C RESIDENCE PHONE 'Ij .1--Q _-RUS[NESS PHONE (31HRS) BUSINESS PHONE TOTAL NIFLNIBER OF ROOMS: Lf ROOM USE: 1. �A 3. 3._ 1 X.L.(1AA 4.RsdV1M 5. 6. 7. 8. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE Tl.%LE OF INSPECTION APPLICANT'S SIGNATURE DATE Insoectors use onlv Date on initial inspection: Date of r_inspection: Date of issuance of certificate: Date fee paid: Type of unit: D,czlline Other Check R Check date: Notes: — Code Enforcement Inspector CITY OF SALEM, 1\/LASSACHLSE`1TS BOARD OF HY,UT[1 120 WMHINGtON Si�RI ET,4".FLOOR TEL. (978) 741-1800 KINIBERI,EY DRISCOTL F,�Y(978)745-0343 MAYOR xur:r;Nr+nun[n nr.r. ccuM DAVID GRI ENBAUM ACTING f I E.AJ AH ACGI NT CERTIFICATE OF FITNESS CERTIFICATE#346-10 DATE ISSUED:7/23/2010 Property Located at: 12 First Street UNIT#N-1201 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 Cale, Chapter IP' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is tater. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH RDEENBA�lM ACTING HEALTH AGENT CODE EN2 EMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD 01;AFALTH 'gyp 120 WASI-IING'1'ON S'l'ltl?l;"I' 4...FLUoR Tv]- (978)741-1800 IUMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Isco -1r(n�s,v.r.ni.COM JOANNE SCOTT, H1.ALT1I A(;ENT' 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 i`S� S�i e9 a3P,Nv-) �{1 A C°,1 q 1) o UNIT#N-12 O — IS THIS UNIT D\IISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �PQ.t �c H i q�I� V�C�� MANAGER/AGENT `)P rt rS NO P.O.BOX r( �� ADDRESS I0 Yl r__5t q r,00ADDRESS CITY, STATE,ZIP &Je.ry-� / I.{A ��(�� CITY, STATE,ZIP 0 RESIDENCE PHONE \X })��/�IL �/ BUSINESS PHONE(24HRS) BUSINESS PHONE( Ip)g 1 J �U " 'A TOTAL NUMBER OFR ZOOMS: ROOM USE: C. I JCt1PVl I,ry �� 8. 9. 1 9 4 e-)C J ffl 10. 7. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS ]PAYABLE AT THE T E OF NSPECTION APPLICANT'S SIGNATURE // 2A A-UYLa— �J DATE �1a3'10 Inspectors use only Date on initial inspection: �Iat3I//b Date of reinspection: Date of issuance of certificate: —7 Date fee paid: 7/W///0 Type of unit: Dwelling I/�ther Check# gg31)SS93 Check date: 10116116 Notes: odtEorcement Inspector `o �g City of Salem, Massachusetts 1 4 Board of Health 120 Washington Street, 4th Floor, Salem, PablicHEalth MA 01970 Prevrni.Pr4n ots P otect 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-17-273 DATE ISSUED: 8/3012017 Property Located at: 12 FIRST STREET UNIT#N1202 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone.(978)745-4884 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 8 years of age. am , Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN `Ty♦ ,�}, CITY OF SALEtI, NIASS ACFIL`jE"I"TS+ Bo.tituD t>I H':+!:tlr 120WASIHNC 10tiSttua:l',4FI.00R TEI..(978')141-1801) KIMBERLEY DRISCOLL FAN(9 7 8)7/43-0343 tL3YOR WctYrlr" vrm.COM JOANNE SCOTT', HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 103 CNIR 4(0.000 `-Nj n7I'iUAI STANDARDS OF FIT\�ESS FOR HUMANI HABITATION" y FEE: $50.(0J0 � � PROPERTY LOCATED AT ` i >� (` 1 U TT' IS THIS UNIT DttSSIG\ATED AS RIGHT LEFT FROST OR BaCF,PLEASE CIRCLE ONE O�vNEIVLESSER I�Pl�I! (J7c'�JGQ �P�Wl �^ NUMNAGER/AGENT a (JaV) S-e't ADDRESS I Z f S S} 1 ADDRESS CITY,STATE,ZI?_Sr)_ � I CITY,STATE,ZIP RESIDENCE PHONE�J BUSINESS PHONE(24HRS) BUSINESS PHONE 'Offzv -,& C TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. 2. 6. 7. 8. _ — 9_ 10. THERE IS A FIFTY(S30)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURF_. DATE Inseectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: D°.vellus OtherCheck n Check date: Notes: Code Enforcement Inspector ;4 `oND�"tee City of Salem, Massachusetts Q: Board -of Health n 120 Washington Street, 4th Floor, Salem, PubliCHealth MA 01970 Prevent.Promote. Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 MaMayor health@salem.com Larry Ramdin, MPH, REHS, CHO Y @ Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-158 DATE ISSUED: 5/31/2017 Property Located at: 12 FIRST STREET UNIT#N-1203 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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. 1-0 —X� Lar ryRamdin MPH REHS, CHO HEALTH AGENT SANITARIAN l CITY OF SALEM, T\'LkSSACHUSETTS tt% BOARD or HP.AIA FI 120 WAST IING'FON Slwu,r 4"FLOOR Ti:],. (978)741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 NL1YOR 15COTT(aS v Fu.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." r� FEE: $50.00 PROPERTY LOCATED AT ' L t 1 I(S C�( UNIT#N_QJ0') IS THIS LIMT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER io yj (IT" — SA I? w I-0 MANAGERIAGENT 3 (J" RAAS S-efl NO P.O.BOX ADDRESS I Z ADDRESS CITY, STATE,ZIP rt telt M A -7U CITY, STATE,ZIP �djv `-Q. RESIDENCE PHONE�(A1V-J�_ BUSINESS PHONE(24HRS) Ll ��LA BUSINESS PHONE cVX I � TOTAL NUMBER OF ROOMS: ROOM USE: 1. rlk-� 2. 3. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE r Inspectors use onlv Date on initial inspection:J/?112-O -7 Date of reinspection: Date of issuance ofcertificat 5-1?212017 Date fee paid: S-/22/2/1t/,7 Type of unit: DwellinOther Check# 33MoX Check date: Notes: Site Name Pequot-Salem LP Site# 1985 Worcenfinspector Date Received CoPurchase Order# GL Code Ono Amount to be Paid Approved By �pOND1 - City of Salem, Massachusetts An Board of Health 120 Washington Street, 4th Floor, Salem, P11b1iCHCalth MA 01970 Prevent.Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-189 DATE ISSUED: 6/29/2017 Property Located at: 12 FIRST STREET UNIT#N1206 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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, RENS, CHO _� u HEALTH AGENT SANITARIAN J l CI1Y OF SALEM, NL�sSACHUSETTS l nom% BoUtDofHF.AIAH 120 WASHINGTON STRI:F"r 41"FLOOR TEI.. (978)741-1800 KLNIBERLEY DRISCOLL FAX(978)743-0343 TNLkYOR isw-i-rra's v rpt.Com JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE:: $550..000�'\ � PROPERTY LOCATED AT 1 l V J 1 4 /, UNIT#_ 1 ZA IS THIS L1TT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER I�P f�ll /)I – SGI �P Wl �— MANAGER/AGENT a O aA RA&S S-e NO P.O.BOX ,, • , �I ADDRESS 11 '1'f -C - �SIY�X/I ADDRESS cSz ^� �a"CITY, STATE,ZIP 1 M A L71 Q l7 U CITY, STATE,ZIP �Q A--O– '' C RESIDENCE PHONE :�6 AAA—t BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: r� ROOM USE: 1. L – 2. 3. 6d4 V---4. "11011M!, 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use onlv Date on initial inspection: � 011 Date of reinspection: Date of issuance of certificate: ( II:1 Ut/I 'Y Date fee paid: Type of unit: Dwelling, Other Check# Check date: Notes: Code Enforcement Inspector coND1T,, '` em City of Salem, Massachusetts a 9 Board of Health 120 Washington Street, 4th Floor, Salem, PubliCHeslth INF DD MA 01970 Prevent. Promote Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-223 DATE ISSUED: 7/27/2017 Property Located at: 12 FIRST STREET UNIT#N1207 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 745-4884 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 C/ HEALTH AGENT SANITARIAN y \� CITY OF SALEM, MASSACHUSETTS BOARDOi Hli:\l:I'H 120 WASHING FON S I'Rr:I r 4"FLOOR TLL. (978)741-1800 b IMBERLEY DRISCOLL FAX(978)745-0343 TNL,YOR iscoTT(a's v.ra.CO\I JOANNE SCOTT, HEALTII 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." 2 L �LF�E,�E:: $5,0..00 � `� PROPERTY LOCATED AT Z , J1 SIT CX/1 UNIT# N- C.v IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE O WNERILESSER ? - SA IQ I/l/I L-0 MANAGER/AGENT � (J" S S NO P.O.BOX p ADDRESS I Z F>�TS SSI'(CJCJI ADDRESS 0,AA^-� CITY, STATE, ZIP <�(A" , MA Q1 'I7U CITY, STATE,ZIP �aW - p RESIDENCE PHONE�.IM--Q. BUSINESS PHONE(24HRS) BUSINESS PHONE FAAI\,-L TOTAL NUMBER OF ROOMS: �,l f�eI ROOM USE: 1. �Gl l 2. LI(� 3. 1 VWl -4. (/lamVV%\-5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Site Name Pequot•Salem P Site# 1985 Code Enforcement Inspector Date Received —7 "(C-/:I Purchase Order# GL Code U Zl'0 Amount to be Paid Approved By �,�v -- -0CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41 'FLOOR PablicHeal4h r.nrm.r..mm� r.M111 TEL. (978) 741-1800 Fax(978) 745-0343 kIMBERLEY DRISCOLL ltamdinnn saleui.com - LnRR\'IL\DID1N,Rti/Rf':I IS,CIHI,(,P-ISS MAYOR HI',Al�l'I I AGII,N'f CERTIFICATE OF FITNESS CERTIFICATE # 129-12 DATE ISSUED: 3/28/2012 Property Located at: 12 First Street UNIT#N-1209 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 n,,�I �`,fq` / AhIA `1 LARAY RAMDIN HEALTH AGENT SANITARIAN )a-94 9 I CITY OF SALENI, MASSACHUSETTS Bo-ARD oi HEALTH 120 NVASHING'i'ON SI tI_.t.-r,-r FLOOR T L. (978)741-1800 hINIBERLEY DRISCOLL FAS 978) 745-0')4') NLA,Y"OR ISCO T(:SALF.M.COSI JO.INNE SCOTT, HEALTII A(,ENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." r FEE: $$50.00 } , PROPERTY LOCATED AT �� / IS4rV A- 1-41�J 1. /�l �� L/ UNIT# Al-/V � IS THIS UNIT DISIGNATED AS RIGHT LEFT F11ONT OR BACK,PLEA�SEy CIRCLE ONE OWNER/LESSER 414 l lllUS MANAGER/AGENT NO P.O.BOY ADDRESS /KV ADDRESS CITY, STATE, ZIP <��T�//� l�r CITY, STATE,ZIP �//K `l /� RESIDENCE PHONE BUSINESS PHONE(24HRS) �� fl v -1 ffl BUSINESS PHONE q - TOTAL NUMBER OF ROOMS: �5 ROOM USE: 1. 2.L ✓r1 rlZhl3. /G7rM 4olrGZ7yl 51?P� 6. 7. V 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH T:FkF-ES PAYLE AT 7THE t T+IlM/ E OF INSPECTIONi �1A DATEAPPLICANT'S SIGNATURE Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling_ Other Check 4,991bl 93� Check date: Notes: kl�A4, Code Enforcement Inspector " CITY 01" SALE.M. MASSACHUSFITS BoAw) cm IJF,',u.'rl l 120 WASHINGTON S'1'12GIsT,4."PL()OR KIMBP;RLI:1,YllR1S(:OJJ., 'IT'L. (978) 741-1800 M ! D F,\x(978)745-0343 ]ra m d i nra).salcm.com LARRY RANIUIN,RS/IwIl IS,CI 1(),CP-I;s I FA7;111 A(&.N'1' CERTIFICATE OF FITNESS CERTIFICATE #441-11 DATE ISSUED: 10/28/2011 Property Located at: 12 First Street UNIT# N-1211 Owner/Agent: Pe not Highlands Q 9 Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-4884 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 LAR14Y RAMDIN HEALTH AGENT CODE RCEMENT INSPECTOR CITE' OF SALEM, MASSACHUSETTS a, &oARn Or Ht„v;n-r 2U\ti';\srnNcroNSrizia;r 4"'Fm)m Tisi.. (978)741-1800 hINIBERLEY DRISCOLL FAx (978)745-0343 MAYOR u n rr s. i.i+.nr C01I 10ANNE SCOTT, I-17::;\7577 AC7I6NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 1 , PROPERTY LOCATED AT—LZ `ST S UNIT# � l—�? IS THIS UNIT DISIGnNA/TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE � OWNER/LESSER jOT SKI IAvIId MANAGER/AGENT 2 1559 /tel i�Ql GN�i NO P 0 BOX ADDRESSf��y'r�S� JT�21 ADDRESS CITY, STATE, ZIP k )a 1,eiW IVA- 01 1N'6 CITY, STATE, ZIP RESIDENCE PHONF BUSINESS PHONE(24HRS) BUSINESS PHONE ”' 7 T S a b TOTAL NUMBER OF//ROOMS: 5 ROOM USE: 1 /Cl�'CKGr( 2.L/VlNh(�Ojy3. rJvrrn 4./ ��dW 5.�drW?-j 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 F E IS�/AY �,ABLE THE I IMEOFINSPECTION / APPLICANT'S SIGNATURE I k�F�� C�lG �—(�� / DATE Insnectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: M a g f//N�Q C� Date fee paid: It I Type of unit: Dwelling ether Check P' I l�7�' I JCheck date: Notes: PS(1fGL�!/r /UMVI ��l 40 Code En rcement nspector