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10-12 FIRST STREET-SOUTH FIRST STREET 9 a 1 r r I 1 } p & CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a 120 WASHINGTON STREET, 4TH FLOOR 'rho` 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#598-07 DATE ISSUED: 12/3/2007 Property Located at: 10 First Street UNIT#S-103 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 44-t� 6 1446� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR c CITY OF SALEM, MASSACHUSET'T'S BOARD OF HEALTH f v • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MAO f 970 ' TEL. 978-741-1800 FAX 978-745-0343 Driscoll 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�� I 3�_ ��(�LA UMT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER '' �-k;&Ae,.. MANAGER/AGENT No P.O.P.O. Box l\ No P.O. Box ADDRESS -,-�-\,- ADDRESS CITY Vn- Vr\ /)\�t'1� CITY Int ' 1 RESIDENCE PHONE-- -BUSINESS PHONE (24 HRS.) ( c-n BUSINESS PHONL0nQ>S`1ppLVS�_ TOTAL NUMBER OF ROOMS, ROOM USE. P-,, 2 4 PP -- n ---- 5 6. 7 R 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, APPLICANTS SIGNATURE\\C.,\,,Q.✓',. _ DATE !NSPECTORS USE ONLY DATE OF INITIAL INSPECTION 1 2 3 7 DATE OF REINSPEC110N DATE OF ISSUANCE OF CERTIFICATE-f -3 '-'?r)ATF FEE P.A!D l 1 d- r a TYPE OF UNIT. DWELL!N(, OTHER'' CHECK 4 (l Chi_CrC DATE NOTES :;UJE E.1 '7H ,L',9EN 4.>{ EG TOR �� aC;I'IY OI' SftF.k.MNhSSACHUSL" TS BOARD or HUA[ PI-I 120 W:\srnNc,rc)N Srar,r-;r 4".1`1,0 1R KTMBERLI,Y DRISCOLL lir],. ()78) 741-1800 F,\R (978) 745-0343 M \Yl)R ]ramdin(a�salem.com LARRY RANIDIN,RS/RVI IS, I-lr,\1:1'11 A(;ISN'I' CERTIFICATE OF FITNESS CERTIFICATE#442-11 DATE ISSUED: 10/28/2011 Property Located at: 10 First Street UNIT#S-104 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 ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR Y RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITI' OF SALEM, NUSSACHUSETTS a 53�rr A I Bo,\rDorHr:\IaFI ��mr�m'�� 120\S;act IING ruN Sntr:r-1,4"'Fl.uc�I. TI:I.. (978) 741-1800 KINIBERLEY DRISCOLL FAX (978) 745-0343 ti'L1YOR s c *rv(a. \i rm COM Jo:\\Nl-SCUTE, HI..\L-n 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." / / _FEE: $50.00 A PROPERTY LOCATED AT 1 F-1 f 61 Stt� �a� . �A �«n UMTk���� IS THIS UNIT rDI'SI�GNATED AS RIGHT LEFT FRONT OR�BACK,PLEASE CIRCLE ONE ��// �� OWNER/LESSER� G Gcwc�S MANAGER AGENT el,� I NO P 0 BOX N , U ADDRESS I� 1710Snn ADDRESS CITY, STATE, ZIP SMA b 1' L ,—CITY, STATE, ZIP RESIDENCE PHONF BUSINESS PHONE(24HRS) BUSINESS PHONE 07P 7115— TOTAL NUMBER OF ROOMS: ,— ROOM USE: 1. C7dT" ' LiVtNLI(11�1�. 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 E IS PAYABLCHI TIME OF INSPECTION APPLICANT'S SIGNATURE4 DATE fl] 11 1f1 I( Inssnuse only Date on initial inspection: 0 Date of reinspection: Date of issuance of certificate: I U I,z S/I/ Date fee paid: 1 0 /0) Y/I 1 Type of unit: Dwellina V Other Check 4q q l f 0 c Check date: Notes: Co e Enforc ent Inspector CITY OF SALEM, MASSACHUSETTS • I BARD Or Hi-ALriI 120 WASHINGTON SrRLEr,4"'FLOOR TEL. (978) 741-1800 KII BERLEY DRISCOLL Fay:(978) 745-0343 MAYOR NIANC W InO SA1,UNLC0N1 ]ANP;1'MANCINI ACTING IIIEAI;I'II AGENT CERTIFICATE OF FITNESS CERTIFICATE # 193-09 DATE ISSUED: 4/23/2009 0 Property Located at:First Street UNIT#S-105 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 ?�<J7bc� -- JANET MANCINI 4 ACTING HEALTH AGENT CODE ENARC ENT I SPECTOR CITY OF SALEM, MASSACHUSETTS 130A norHvAIA'1-1 120 WASI-I1NGT0N S'r1wv,r 4"'FI-oox IcL. (978) 741-1800 KJMBERLEY DRISCOLL, FAx (978) 745-0343 MAYOR isa n-r(a)sm,r•.N1.COM JOANNE.SCOTT, H13:\un-1 AG1ZN'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-k) k(PA.gale_(' A A r31 CI r-)r� UNIT# jC/ )S� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER�� )n� 4� c 4��C�I ICJS MANAGER/AGENT TP_a-1 nto `,vTHjE, NO P.0 BOX I L V ADDRESS ADDRESS /j A CITY, STATE,ZIP SAIi i 1 . HA nig r)n CITY, STATE, ZIP RESIDENCE PHONE Rj /A BUSINESS PHONE (24HRS)( `b)7yS-`l,�gq riy7" ��3`b�l BUSINESS PHONE 9')g) TOTAL NUMBER OF--ROOMS: / I ROOM USE: 1.�,Aol qv) 2. Lliire�_ 3- �va_�_�_�Yocrr 4�a PJ�thYoc»� l�edfooDl 6.3e�room 7.Qvr)fnnvn 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TI OF INSPECTION J I APPLICANT'S SIGNATURE � lY(/VLQ- ��uDATE Insnectors use only Date on initial inspection: L}• 7n1 Date of reinspection: Date of issuance of certificate: y-Z3 dpi Date fee paid: q-1$ °dQ Type of unit: Dwelling ✓ Other Check 4 qq 15WO)') Check date: Notes: U"� CodeEnforceme%Insfor � ' °m City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, 0 Pahi�CHe>�lth MA 01970 Present.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-17-325 DATE ISSUED: 9/28/2017 Property Located at: 412 12 FIRST STREET UNIT#S106 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 occupant nder years of age. e Larry Ramdin, MPH, REHS, CHO �_ ✓ y HEALTH AGENT SANITARIAN CITE" OF SALE-M. i\L-�SSACHUSETTS Bouc)OrHr.\t:tH 120 WASHM ION S tR1'.I.r,4'" Fwoit TEI.. (978) 741-1500 KIIIBERLEY DRISCOLL F.ix(978') 745-0343 K-1YOR isaiT7rds\1 r.\i.COM JOANNE SCOTT, HEALTI-I AGENT Application for Certificate of Fitness FN ACCORDANiCE WITH STATE SANITARY CODE, CI-L4PTER 11, 105 COIR 410.000 "v4INI Oil vi STANDARDS OF FITNESS FOR HUTtAN HABITATION" Fs �EEE: $50.00 e PROPERTY LOCATED AT �1 k rUNIT-.' J—' U IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE O\E OWNER'LESSER ISP 11 ^)r – SA I� VVl �—� NU\NAGER/AGENT UCIVI CSS2 NO P.O.BOX y, ADDRESS ADDRESS �Cl/v/ CITY, STATE, ZIP <�r1 X-<.w 1 M A (7I C170 CITY, STATE,ZIP SQ.w'-e. RESIDENCE PHONE'�_-OAjV-- _ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER O11 F ROOMS: p �j ROOIIUSE: 1. l�� 2. L� 3. t � 4. ?Z-AMA. 5. RAM,, 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR INIONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TINIE OF INSPECTION APPLICANT'S SIGNATURE DATE Insoectors use onlv 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 LP Site# 1985 Date Received Code Enforcement Inspector Purchase Order# GL Code Amount to be Paid Approved By CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH lu 120 WASHINGTON STREET 41..FLOOR PI1b1iCHC8 ith Yr<venL Vrnmorc.Pralwt. TEL. (978) 741-1800 Fax(978)745-0343 ICIMBERLEY DRISCOLL lramdin2salem.com - L,\RI2Y RAMDIN,2S/RI-,,1 IS,Cf 10,C11-15 MAYOR H1,'AI;1'I-I AGrNr CERTIFICATE OF FITNESS CERTIFICATE#443-12 DATE ISSUED: 11/14/2012 Property Located at: 10 First Street UNIT#S-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 II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LA RAMDIN HEALTH AGENT 4AN1TARIAN CITY OF SALEM, MASSACHUSETTS 11n'X' Y , r BOARD OF HE.-U-XH Ij LI3j I`' 120 WASHINGTON STREET,4"'FLOOR TF1,. (978) 741-1800 KIMBERl EY DRISCOLL FAX (978) 745-0343 MAYOR aUMDIN O SA1,kA1.Cont LARRY R,\NIDIN,RS/RI{I IS,Cl 10,(T-1;S HRAI,I'II A(11::NI' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT--J() —1M+ .S1 r ':Z,61PXY) MA bACn O UNrr# 5-I I O IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER PPS o �hlnr,M MANAGER/AGENT�7 qq 14 �'1'1/t�llllrl NO P.O. BOX J ADDRESS )2 FtrCI 51veD-i ADDRESS I-L FIYSf S�YC�! CITY, STATE,ZIP Set Vr_rr M A h I0fl t1 CITY, STATE,ZIP S6k M 1 M A U\Q-10 RESIDENCE PHONE BUSINESS PHONE(24HRS) q�SC1-1�s�I BUSINESS PHONE LQ19\)-N!- -t- Z� TOTAL NUMBER OF ROOMS: q ROOM USE: 1.V-rtcktext 2.bt+hrozrn3. hedCn-m 4.bXkrvj e�m 5. 6. 7. 8. 9. J 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �- A,_ __Q _ l G) DATE IJ J�J Insnectors use only Date on initial inspection: ( � �I I 1 l` Date of reinspection: r Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: — *' cctor d Dom" City of Salem, Massachusetts i M LBoard of Health �y 120 Washington Street, 4th Floor, Salem, Prevent. F�\il MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO i Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-41 DATE ISSUED: 2/12/2016 Property Located at: 10 FIRST STREET UNIT#S-111 Owner/Agent: Pequot Highlands Address: 12 First Street Zip City/Town: Salem, MA Zi Code: 01970 24 Hour Phone:(976)745-4684 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11 "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN + r . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH PublicHealth 120 WASHINGTON STREET,47 FLOOR prevent.pnreata Protea. TEL.(978)741-1800 FAx(978)745-0343 Kh IBERLEY DRISCOLL lramdin@salem.com MAYOR LAxxl'1trL'4ID[N,RS/REI I5,CHO,CP-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 Q I+q ?0 UN1TJ4 9-1I/ IS THIS U(NIT'DiISIGNATED AS RIGHT LEFT FRONT OR B�PLEASE(CIRCLE ONE OWNER/LESSER � GQC s� MANAGER/AGENT �OAr� c>tiSSe l( NO P.O.BOX ADDRESS �2_�1, 'r,� ADDRESS CGI.IMe CITY,STATE,ZIP > A6-n '', AAA O9p�� l D CITY, STATE,ZIP RESIDENCE PHONE �7 9' `?45 . 4 N BUSINTSS PHONE(24HRS) -t- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. #i C— 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 PA E AT IME INSPECTION J APPLICANT'S SIGNATURE / DATE Insoectors use onlv Date on initial inspection: OVA- oi- Date of reinspection: Date of issuance of certificate: ©V(A(2-OtG Date fee paid:02/0�/202G Type of unit: Dwelling Other Check#9a2-1.1772- Check date: o j /2z/so 2C Notes: - - — - r7�Jg.5� Site Name Pequot Highlands Site# t 0737 , Date Received Purchase Order# Batch* Cof cement pector GL Code Amount to be,Paid I L Approved 8y CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#367-07 DATE ISSUED:8/13/2007 Property Located at: 10 First Street UNIT#S-113 Owner/Agent: Pequot Highlands/Winn Residential Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter Il" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f ,U, � � � S-�,,�- l�D�`�5°� y� � ��� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR a - 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 )b !F)fRt StrC�1 alcor M A UNIT OlgFID IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWN ER/LESSER_jA)IIIIIRin%(APYIta-_L__MANAGER/AGENT PPjMuat Nj( NondA No P.O. Box No P.O. Box ADDRESS to Fwc+ iCjr"-t- ADDRESS CITY S(l)ern MA ornb CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS )_LG7�14S__q 8`I BUSINESS 1 TOTAL NUMBER OF ROOMS - L0 ROOMUSF 1 IIV1rgWM 2 UUn. 3�11,a�_bft 4 _fMrn 5kl�J(611 6b-d1lAM 7 bnl1U,a[L --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. , APPLICANTS SIGNATURE (�0�9 Q .__�._t _ 1 � DATE'_,&II�_�"p'J_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION_- �_3- a ? _ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE 3'_(3 _, DATE FEE PAID _ TYPE OF UNIT DWELLLiQ�/OTHER CHECKCHECK DATE g 3 7 !A / (32 NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 4 i • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERI_EY DRISCOI-I. FAx(978) 745-0343 MAYOR DGRI?I!NIIAUNfnS2%1,1;NLCUIV DAVID GRHP.NBAUM ACITN(i Hi3A1.X1-1 Ac;ENr CERTIFICATE OF FITNESS CERTIFICATE#338-09 DATE ISSUED: 7/22/2009 Property Located at: 10 First Street UNIT#S-115 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 G EENBA ACTING HEALTH A ENT CODN ORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS 1 irc BOARD OF I-I :,U,n-1 120 WA, i-IINC'rON S'I'Ri:.i,.r 4"'FI,< w Tia, (978)741-1800 IUMBERLEY DRISCOLL F,�X (978) 745-0343 NLWOR samrrs, i.i;m.CO\I 10ANNE SCOTT, I ll;A:rx A(,ENI 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 ID NirST SfrPo) i �Apm MA oi' )n UNIT# S-LL'-' IS THIS UNIT DISIGINATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER�YPQA x)� N CSI k-I')C 5 MANAGER/AGENT 7 er',V)ne Su++j L NO P.O.BOX I 1L �J ADDRESS Ja F"r-_ � STrPol . ADDRESS kJ/ CITY, STATE,ZIP ad e-YY) I MA n)97l7 CITY, STATE, ZIP RESIDENCE PHONE ki 1A ' BUSINESS PHONE(24HRS) yS- V3 F,C/ BUSINESS PHONE(ccli)%� r1U`� k/�-(Y TOTAL NUMBER OF ROOMS: ROOM USE: I. \�AAv n 2.-b,\V(uM1 3.Uvcvi jccm 4.3pc)i,,m 5.3e�rnc n 6. 7. S. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �k tf/YVvlJ2_ a) DATE_�b� �/ lb, Inspectors use only Date on initial inspection: /��1 �l Date of reinspection: Date of issuance of certificate: 7/0 a/0 Date fee paid:/ -1I ad)I I Type of unit: Dwelling Other Check 49� a0g37Check date: W AAn � Notes: n� Code EnforcementOctr a +�, CITY OF SALEM9 MASSACHUSETTS m1l. BOARD OF HEALTH R Ilr y, 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 Y TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#72-08 DATE ISSUED: 2/11/2008 Property Located at: 10 First Street UNIT#S-116 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. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS f BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 - T E L. 976-741-180() �A�L FAX 978-745-0343 ,1V,�yr�(' C�t14/1 JOANNE SCOTT, MPH, RS, OHO � Kimberley Driscoll HEALTH AGE N' X U 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 ATI'-IA UNIT 1# "Cp IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER e4�v Vi�,-k�ANAGERIAGENkLd�ae�,�j—' R No P.O. Box No P.O. Box ADDRESS\7-T�--,,� `^ ivy _—ADDRESS `i/� CITYF.mr, C�\r1�CJ CITY - V'*�'---\ RESIDENCE PHONE 1N �A BUSINESS PHONE (24 HRS,I��I�Cc� BUSINESS PHONEI TOTAL NUMBER OF ROOMS ROOM USE: �rac� a+ � Y� ,fir 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. APPLICANTS SIGNATURELI-teeV,-A nom__ INSPECTORS USrE DAT E OF 'NIT'AL INSPECTION D-'I ( . Z' 7DATE i)F REINSPECTION DATE GF ISSUANCE OF CLPTIG iC.= TE � / � ' 0 TYPE :)f" '.(llT GVdEi_L'dR . 'd OTHRE NOTES ,.-C'r' Ji I-�Jf".G.JEI'I I '�J:�r'E , - _'E' ._` • v.. co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR q SALEM, MA 01970 TEL. 978.741-1800 ` c FAX 978.745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#289.08 DATE ISSUED: 8/24/2008 Property Located at: 10 First Street UNIT#S-202 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 EALTH JOANNE SCOTT, MPH, RS, CHO r HEALTH AGENT DE ENrORCEMEN INSPECTOR i x t . • CITY OF SALEM, NlA.SSACHUSETTS BOARD of HEALTH 120 WASHINGTON S"I RHET,4"'FI,00R TEL. (978)741-1840 KIMBERLEY DRISCOIJ FAX (978) 745-0343 MAYOR yc<}_T 3' Lsnia:ni.com JOA NNE SC,(M', HF.Al.:I H 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 Af`U IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR SACK,PLEASE.CIRCLE ONE OWNER/LESSER4 -�V� c �—C1�SANAGER AGENT zr\�rie- ADDRESS ADDRESS \ tl 4 CITY,STATE,ZII'4��,v��_UtiMP,— G\c�O CITY,STATI,ZIP ( RESIDENCE PHONE 1 /1 BUSINESS PHONE (241IRS?�-W�­-� BUSINESS PHONE\ TOTAL NUMBER OF ROOMS: ROOM USE: I 2. cx 3.(3ec�rr 4Qe�J z� _5 �1 c 6.1Cx�c-hs .7 at C�Ai h 8.��z to n 9. 10. THERE IS A TWENTY-FiVE($25)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF P.TTSPECTION APPLICANTS SIGNATURE 0,,911 AA -,;L- � DATE Inspectors use only Date on initial inspection: `2 v1 CC`S Date of reinspection: Date of issuance of certificate: So -z>It 'a£s Date fee paid: f L�1-CsK Type of unit: Dwelling ✓ Othcr Check# 1 21 I Check date: (, ,'L3, Notes: *Enforrem4een)sp1t`c1ornt I f City of Salem, Massachusetts r f • i q Board of Health 120 Washington Street, 4th Floor, Salem, r,Pt1bI1CII MA 01970 Kimberley Driscoll Tel, (978) 741-1800 Fax. (978) 745-0343 Larry Rarrmdin, MPH,RENS,CHO Mayor iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15.67 DATE ISSUED: 517/2015 Property Located at: 912 FIRST STREET UNIT#5204 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)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 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, RENS, CHO SANITARIAN HEALTH AGENT • � � CITY OF SALEM, IVLASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4TM FLOOR PublicHealth Prevent.Pramm< Pramct. TEL. (978) 741-1800 FAx(978) 745-0343 KMERLEY DRISCOLL Iramdin(@.salem.com MAYOR LeVtltl'Rr\DfDIN,RS/REFiS,CHO,Cl'-PS HEAi:r t 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" 1 r 1 FEE: ($50.00 Q PROPERTY LOCATED AT 0 J`�T .SSI' _ `,l j )m__ l V v-1 n AW UNIT#S a L IS THIS UNIT DISIG1NATED AS IfIGHT LEFf PRON'1'OR BACK.PLEASE CIRCLE ONE OWNER/LESSER ?9Wo� MANAGER/AGENT 36a r\ '��sseA NO P.O.BOX ADDRESS �7 _ ::!i S, /�/ ADDRESS CITY, STATE,ZIP � e ► 1 , ^V'n F0 Iq 7� CITY, STATE,ZIP �S � RESIDENCE PHONE q !-71 K 7 45 ' 4A W4 BUSINESS PHONE (24HRS) - BUSINESS PHONE C--ANY�I-c- TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. LP— 3. �1� 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABL AT TIMEF INSPECTION APPLICANT'S SIGNATURE DATE 515fj-5 Insvectors use only Date on initial inspection: 05I SI 5 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Site Name Peq otHi�h_Ibnds Site# s I 'i'v Date Received � � Purchase Order# Cod or ent Inspector S—�`, Batch# GL Code O�CCLI� Amount to be Paid Approved By cnun , City of Saiem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PU Wh Preveot.Promote. Protect MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-374 DATE ISSUED: 10/31/2017 Property Located at: 61 FIRST STREET UNIT#5206 Owner/Agent: Pequot Highlands Address: 12 First Street Cityfrown: 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 j t HEALTH AGENT J SANITARIAN CITY OF SALE-M, -L\LkSS-kCHLSETTS BO G:D Oi HI'.u,i Fi 120 C'. 1INGI ON SI-RI a:I',- - F1.003 TLL_ (978 741-1800 KINBERLEY DRISCOLL F.,,-,N:(978) 748-0343 NLCYOR Isrn7r, s�lF ; COM JO A.NNE SCOTT, HEALTH AGFNT Application for Certificate of Fitness IN ACCORDANCE VSTTH STATE SANITARY CODE, CHAPTER 11, 105 CSCR 410.000 ` NITNINMi I STANDARDS OF FITNESS FOR HUM_A�Nr HABITATION." FEE: 550.00 /; � f PROPERTY LOCATED AT I C ) Fi I-S C>( fZl-A— UZT' IS THIS CNIT DISIGSATED AS RIGHT LFft FROVT ORB A CK.PLEASE CIRCLE ONE O� NERLESSER ?P(f.11 (i� — SalPwt �-1 �NLANAGER/AGENT �(Ja-V) CSS2( � No P.O.BOY ADDRESS_ 12 Fri S F _ H1 ADDRESS <Scl-� CITY, STATE, ZIP ��! ��/Vl t �� U CI-7() CITY, STATE,Z[P SQ V�2 RESIDENCE PHONE �r(�t. Q_ BUSFN ESS PHONE (24HRS) C1 4K —q U BUSINESS PHONE TOTAL N FNIBER OF ROOMS: �p �� "1 n I ROOM USE: ^� 2. U�1. Y3. Rd A 4. 5��J� 6 7. _ _8. 9. 10. THERE 15 A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE)1 BOARD Or 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: D'hellima Other Check k Check date: Note,: Code Enforcement Inspector �cOND City of Salem, Massachusetts Board of Health m 120 Washington Street, 4th Floor, Salem, FI>tybliCHeAlth INS D 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-17-368 DATE ISSUED: 10/31/2017 Property Located at: 10 2 FIRST STREET UNIT#5207 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 Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN a . CITE' OF SALEM, NLksS ACHUSETTS BJ%m OI HI .u.t'ri R 120 VASI NC,t'ON S lItU,L r,4" FL003 TL1_(97 8) 741-1500 KINI3ERLEY DRISCOLL FA-K(9 18) 745-0343 MAYOR COSI JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness FN ACCORDANCE NMH STATE SANITARY CODE, CHAPTER 11, 105 Cl'a 410.000 "�IINI�ILJ�I STANDARDS OF FITNESS FOR HLJ' AN' FLABITATION." FEE: $$5_0..0,0 a 7� PROPERTY LOCATED AT r/ U t'L ►'S� S f T CXR 1NTT4 �-CB 15 THG UNIT DISIGINATED AS RIGHT LEFT FRON"'rrr OR BkCK,PLEASE CIRCLE 0\E OVVti'ER'LESSEP. �PpJlirr — �QIQWI_ L � %LaNAGER/AGENT � UCl..✓) NO P.O.BOX ADDRESS I Z1 S t CX/1 ADDRESS CITY, STATE, ZIP r)-,UJM �I I X1-70 CITY, STATE,ZIP �QcW-Q— f C RESIDENCE PHON-F �_ t(�l. _ BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OFF ROO.&IS: ROOM USE: I. ccL 2. 3. &1 MA 4. 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 TDAE 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: D%, ellins Other Check k Check date: Notes: Code Enforcement Inspector * �OHD City of Salem, Massachusetts Board of Health ` 120 Washington Street, 4th Floor, Salem, PUPrevent. Promote. P@�h 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-16.155 DATE ISSUED: 5/6/2016 Property Located at: 10 FIRST STREET UNIT#S-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 / J /. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 1P BO.\RD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PublicHealth Prevent.Pramme Pmt¢<. TEL. (978) 741-1800 FAX(978) 745-0343 KINi IBERLEY DRISCOLL lramdin(a.salem.com MAYOR LARtil'IL\b[llN,RS/REFIS,CF10,Cl'-FS 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: $50.00 p ^� PROPERTY LOCATED AT (O r 1 1r S� S+ • Sa I //VY) . A lrl v � �I aJNIT# S-0,z07 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAM PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT Soar\ " ussel( NO P.O. BOX �, 1 L Vv ADDRESS `�_F�Y`it' Sl A^^ ADDRESS Sco- e CITY, STATE,ZIP A O IO1 7o CITY, STATE,ZIP S � , /V '1 gyp RESIDENCE PHONE q-7 Z, 745 • 4A b04 BUSINESS PHONE (24HRS) BUSINESS PHONE C-=O � TOTAL NUMBER OF ROOMS: 3 (� ROOM USE: 1. '1 2. UZ- 3. K]�1 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABL AT THE TIME OF INSPECTION q ' APPLICANT'S SIGNATURJAJ--� DATE -1 Inspectors use only Date on initial inspection: 2 0 Date of reinspection: Date of issuance of certificate Date fee paid: 0,'517312hl 6 Type of unit: Dwelling Other Check#9 9ZLW11 Check date:_©IV441Q i Notes: tilte IVame - PeyuOL rMnidnuo Site# 0137 Date Received Purchase Order# ,�_��_ C dreement Ins or Batch GL Code Amount to be Paid S17)0, 0( Approved By _ CITY OF SALEM, MASSACHUSEI"I'S BOARD OF HEALTH 10 120 WASHINGTON STREET 4O'FLOOR PI1b�1CHC81th STREET, Prevent,Promote.Protect TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin0salem.com - LARRY ii\mmlN,Rs/Rr�:Hs,<;i 10,cr-rs MAYOR HF.I\i,11I AG I,,N'I' CERTIFICATE OF FITNESS CERTIFICATE#74-13 DATE ISSUED: 2/15/2013 Property Located at: �2 First Street UNIT#S-208 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. FOR THE BOARD OF HEALTH LAFfRORAMDIN � yAC� HEALTH AGENT SANITARIAN I CITY OF SALEM, MASSACHUSETTS a ' BoAROOFH1.AL H v 120 WASHING PING rON S-I FL r,4,"FLOOR Tfi:f.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 TNLYOR 1S r)Tr(C-tS:kI.ear 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." 99 }} l FEED: $50.00 , PROPERTY LOCATED AT 1 U )15 T S l-r-e r �� I e IM. IMA V A r9 c17e-) UNIT# Sa o fs DIS THIS UNIT D(ISIG(NATIED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 1 eq.L4 �I1q� JIB MANAGER/AGENT 1✓ 1lrl G ADDRESS �� rS� -, 1Ynnee ADDRESS �'('ST ST✓rP� CITY, STATE,ZIP � Ir wI f 10.4 0 19 76) CITY, STATE,ZIP �G 1 P vh /1)•d O IGt7(� RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESSPHONE TOTAL NUMBER II 'I {X OF ROOMS: II I—I ROOM USE: l.`4lc�e n 2. �d 146001 3. L;vi.wrer-nl4. �&Lmu✓Vt 5. 6. 7. 8. U 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 ��%' 9, DATE Inspectors use only Date on initial inspection: a l I S �I?1 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code E f cemeniinspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR PllblicIieaith Prrvmt.Promote.Pralect TEL. (978) 741-1800 F,ix (978) 745-0343 KIMBERLEY DRISCOLL ltamdin(a.salem.com L.\RRY R:\MllIN,RS/RI?I IS,C710,CP-1'S MAYOR HL,.A .T11 A(;'FN7' CERTIFICATE OF FITNESS CERTIFICATE#63-14 DATE ISSUED:2/27/2014 Property Located at: 10 First Street UNIT#S-209 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. FOR THE BOARD OF HEALTH G� W LAR MDIN VVV HEALTH AGENT SANITARIAN CITY OF SALEM, yLASSACHUSE'CTS l(j Jf�� BOARD OF I-IEALTH 120 WASFiTNGTON STREET,C FLOOR Pnb11CHealth TEL. (978)741-1800 FAZ(978)745-0343 KMERLEY DRISCOLL Iramdinna,salem.com MAYOR - Lrll2121'RA\IDIN,RS/REF1F.,CHC?,CI'-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NiffNITMUM STANDARDS OF FITNESS FOR HUMAN HABITATION' FEE: $50.00rrn �- t (� PROPERTY LOCATED AT k t��F1 � S� 5� � ��! n . V Y V'� 00 7� iNTT# IS THIS UNIT�DISIGN(AT_ED AS RIGHT LFFT FRONT OR$ACK,PLEASE CIRCLE ONE OWNERIESSER P vi � tt1lGk � ANAGER AGENT JM ''" � NO P.O. BOX ADDRESS 1 f ADDRESS LC CITY, STATE, ZIPCITY, STATE,ZIP �j RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: i. 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 AVIM TME OF INSPECTION q APPLICANT'S SIGNATURE \✓� W` DATE j" T17I t I Insnectors use onlv Date on initial inspection: a 7474 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check T49-"9q Check date: "—Y— dotes: -7 Liq V{J Cita hlamo S:te# 41-71 ,- -� — Date Received Purchase Order# Cod�-/Eeorc= f a y Jy1� Inspector Batch# GL Code Amount to be Paid Cf",• nb Approved By " Massachusetts City of Salem, � n Board of Health 0 120 Washington Street, 4th Floor, Salem, ProblicHeatth 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-17-323 DATE ISSUED: 9/28/2017 Property Located at: 61 FIRST STREET UNIT#S211 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 SANITARI/XN a CITE' OF SALEM, NL�SS_�CHUSETTS BO\RD oP Hi[.VaH 120%f".\S[n\C rON S nu:t:'t',4"Ft.00t. TEL. (978) 741-1800 KIMBERLEY DRISCOLL F.{X(978)745-0343 KL YOR ISCn-7GS\11-V COSI JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE N�TTH STATE SANITARY CODE, CHAPTER 11, 105 CNIR 410.000 "NIININ4UM STANDARDS OF FITNESS FOR HUMAN HABITATION" �FEE: $50.00 PROPERTY LOCATED ATI V ��OTY CJlJ1 U NNITR J Z—( t IS THIS UNIT DISIG-SATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE O]F, OWNERILESSER I P I/ (7� — SQ Lt' VVl �-- NLANAGER/AGENT �DUQ.V) RACS Sa NO P.O.BOX ADDRESS 12 'Rf-<J" CX/1 ADDRESS CITY, STATE, ZIP (�05 MA 61 '170 CITY, STATE,ZIP ��7aV^-Q. ' CC RESIDENCE PHONE : (6(Aj( Q- BUSINESS PHONE(24HRS) C1 BUSINESS PHON'F 4)AA Q, TOTAL NTINIBER OF ROOMS: ROOM USE: L �A.v 2. U��/-- 4. (Arw-, 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 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 U rt S�_ Site Name Pequot•Salem LP Site# 1985 Date Received Code Enforcement Inspector Purchase Order# GL Code Amount to be Paid Approved By i r, c �oNo CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ' 3 TEL. 978-741-1800 9sti FAX 978.745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#258-08 DATE ISSUED:613/2008 Property Located at: 10 First Street UNIT#S-212 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 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 HtE JO NNE SCOTT, MPH, RS, CHQ HEALTH AGENT CODE ENFORCEMENT INSPECTOR �0 ' CITY OF SALEM, NIASSACI-iUSE'ITS • BO.1Rf1 OF HEALTH 120 WASHINGTON STREET,41"Ft,om TL L. (978)741-1800 KIMBF,RLEY DRISf'CLL F.tx (978) 745-0343 MAYOIZ ISUOIT(&d ALVM COM JOANNE SCO'T'T, HI:Am,H AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, Ids CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT M 1'+ rbt S�r-e,4 & 6-y-1 HA O\Ci I-)() UNIT# 5 -c��a y IS THIS UNIT DISIGfNATED A\ T'S RIGHT LEFT FRONOR BACK,PLEASE CIRCLE ONE OWNER/LESSER 'CPt mi 1-kjY Lv)C1 S MANAGER/AGENT__:Lp v-)t ) -(L &A NOP'0. BOX �r ADRESS IQ r5 iL c4r=e2tU ADDRESS A JJl� CITY,STATE,ZIP SC PA-Y-) HA/ CV�00 CITY,STATE,ZIP RESIDENCE PHONE/ BUSINESS PHONE (24HRS)A _ Ll BUSINESS PHONE TOTAL NUMBER OF ROOMS: % t y ROOM USE: 1. �iUi'�1c�12o(,M2. Fu��Zc�4Vl ,Oj �����(°.h.kM 4.'-?)e JC,,w 5. 6. 7, 8. 9. 10. THERE IS A TWENTY-FIVE($25)DOLLAR FEF.,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT T� TIME OF INSPECTION APPLICANTS SIGNATURE J4E'_1t111 A Q_ ��<�/� DATE Inspectors use only Date on initial inspection: C. 9 ' 4�' Date of reinspection: Date of issuance of certificate: 6 ? SC' Date fee paid: (o-1 -0e Type of unit: Dwelling Other Check# 1250') Check date: I-v r Notes: &A0'A Code EnforcementInspe for SII { • a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR p11b1icHealth Prevent.Promote.Protect TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdin(a.salem.com MAYOR LAItItY ILIMDIN,RS/1t1iIIS,CHO,CP-PS HAAUM AGENT CERTIFICATE OF FITNESS CERTIFICATE#121-13 DATE ISSUED: 3/29/2013 Property Located at: 10 First Street UNIT#S-214 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 B RD OF EALTH LARRY RAMDIN HEALTH AGENT SANITARIAl4 I Y I CYIT OF SALEM, VIASSACHLSE "TS 1 1 BOARD OI''Hr;A1:1'tI 4� J 120 WASHINGTON PON S'ITJ:FT 4"'FLOOR TI,t.. (978)741-1801) KSNIBERLE.Y DRISCOLI, FAX(978) 745-0343 MAYOR rrr' t FTM.COM JOANNE SCOTT, HFOAL rtI 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." iV 1 n f FE4 E: $50.0,01 �[ PROPERTY LOCATED AT �'4 S r SJevn. ,qq 01 76 U\1T# ) IS THIS UNIT DIS({IZTED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE it OWNER/LESSER PeIV04 Hir 6,3f MANAGEWAGENT" 69f'dl 1"" t\We ll NO P.0 BOX 1. _ t ADDRESS j rsr5� S'! ADDRESS CITY, STATE,ZIP SC,le /1A 0IR10 CITY, STATE,ZIP �ateP;l- 11114 0)(0270 RESIDENCE PHONE c� c� BUSINESS PHONE (24HRS) BUSINESS PHONE 017 5r- I - l�q TOTAL NUMBER OF ROOMS: h -1 f� c. ROOM USE: 1.VUEkh 'Jek Virl 3. (� iVcm 4�ivvCjOvA5. 6.I5e8room 7. 6e.Arnv✓p 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 �laDATE 13 r Inspectors use only Date on initial inspection: .1I I 113 Date of reinspection: I Date of issuance of certificate: Date fee paid: i Type of unit: Dwelling Other_ Check 4 Check date: Notes: Co'"detEr{t enz Ins i e D City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PUb1iCHealth MA 01970 Prevent.PrUnlnte. Proteet 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-16-434 DATE ISSUED: 11/7/2016 Property Located at: 10 FIRST STREET UNIT#5215 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(970)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 t s CI71Y OF SALEM, -'LASSACHUSETTS .a 11 r cr� BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PublicIiealth TEL. (978) 741-1800 FAA(978)745-0343 KaIBERLEY DRISCOLL lramdinnsalem.com MAYOR HEALTH >�Anm[N,tLti/Rr-:xs,cHo,Cl'-FS 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 p PROPERTY LOCATED AT 16 P"1 K�- 'WU_ UNIT# IS THIS UNIT DISIG1NATED AS RIGHT LEFT FRONT OR BAM PLEASE CIRCLE ONE OWER/LESSER W YE`CLI��S MANAGER/AGENT 30ar\ '�-ASSt�( NO P.O.BOX -- 1 1 ADDRESS _F; I��st'-,�1 Ann ADDRESS SHIM F CTTY, STATE,ZIP Sa CD ' 1 r /t/V'T1 O P 70 CITY, STATE,ZIP SSR RESIDENCE PHONE q-7 Z' 7 45 . 4 L0 BUSINESS PHONE(24HRS) BUSLNESS PHONE C--A C TOTAL NUMBER OF ROOMS: ! ROOM USE: 1. �Lt I 2. UL 3. WO., 4. 00I-0-- 5. lel rlN� 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 TWE OF INSPECTION APPLICANT'S SIGNATURE DATE Ins-oectors use only Date on initial inspection: 6-a7 /t6 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: vl Site Name Pequot Highlands # 0137 Date Received Purchase Order# ZVL 4 'Af6-qBatch* Code E�oc nt Inspector GL Code (Q L !�l3 Amount to be Paid w Approved By CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978.745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#556-07 DATE ISSUED: 11/21/2007 Property Located at: 10 First Street UNIT#S-216 P Owner/Agent: Pequot Highlands Address: 12 First Street City(Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR / I CITY OF SALEM, MASSACHUSETTS •r - BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MFH, RS, CHO - Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE. CHAPTER ll, 105 CMR 410 000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT <,,�,_UNIT •v._„uk ca��.^Z C.� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 1 \ak c S�MANAGER/AGEN�r-r__.,_.t-1 . No P.O. Boxl6> No P.O. Box ADDRESS�\2,' yc1 r �r�� ADDRESS �l � We CITY `f �es i V\,A A— CITY RESIDENCE PHONE jv 1 BUSINESS PHONE (24 HRS )( BUSINESS PHONE( TOTAL NUMBER OF ROOMS ROOM USE. 1(2 2[?�1-Lx,,�._3 � � _4�,-N,7rE� THERE IS A TWENTY-FIVE(525.000) 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 SIGNATUREV—Zy DATE_ t_ `?e� i � INSPECTORS USE ONLY 1! DATE OA INITIAL INSPEC_I ION ,/il�rjv�- _-. DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE. /i/ /!7 DATE FEE PAID ff�? r f0'7 TYPE OF UNIT. DWELLING T}aL R CHECK 4 r'HECK DATE NOTES 5-TE e, To Rt Tg.4,Sv 0,11- CO E(;1=OPGE(^!.NT INSPEClop W'118!48 i co CITY OF SALEM9 MASSACHUSETTS L BOARD OF HEALTH _ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 j KIMBERLEY DRISCOLL JSCOTTCU)SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#259-08 DATE ISSUED:6/3/2008 Property Located at: 10 First Street UNIT#S-217 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 Il" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH r J ANNE SCOTT, MPH, RS, CHO HEALTH AGENT ACLOODE gENF CEMENINSPECTOR I • CITY OF SALEM, IVIASSAcHUSE'ITS BOARD or H&Aufi 120 WASH]NGTON STREET,4"'FLOOR TEL (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 1IAYOR «'rr(nh,�LEM.COM J OANNE SCOTT, HT-Ai:1'H A(;EN°r' 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 1b (i'a 4 s� e'Q fF 5t-)1o_VYl HA c))q )n UNIT# J - ,;U1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNEit/LESSER �* 2Cy k' —MANAGER/AGENT ��Ft1Avt/�i1E� ADDRESS Y+'3"J ADDRESS liter �7 CI-IY,STATF,ZIP & 11 e)yy) MA O iq *)d CITY,STATE,Zp? RESIDENCE PHONE \ A A4 BUSINESS PHONE(24H (q RS) BUSINESS PHONE,rr 77`?7S! ) -7 `!l TOTAL NUMBER OF ROOMS: ll ROOM USE: 1.1/v i�� Knrnv2. hi YC he vt 3. ,1` L�alln 4. l�ec oa✓n 5. 1Ber)rpvvr') 6. 7. 8. 4. 10. 'I'HF.RE IS A TWENTY-FIVE($25) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT LME OF INSPECTION APPLICANTS SIGNATURE vAAj5ZxAt*-0— DATE Inspectors use only Date on initial inspection: " 3-oFf Date of reinspection: Date of issuance of certificate: Date fee paid: ln"3-0 S� Type of unit: Dwelling :=�4-0ther __Check#JLoZ Check date: v D Notes: Code Enforcement Inspector F CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 41°FLOOR PublicHeatth > Prevent.Promote.Protect TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdin(ad,salem.com �. LAI212P 1L\NIIJIN,125/RIsHS,CI 10,CY—I�S MAYOR Hh,ALTH AGeNT CERTIFICATE OF FITNESS CERTIFICATE #408-13 DATE ISSUED: 11/8/2013 Property Located at: 10 First Street UNIT#S-218 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 Artide IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN '� S HEALTH AGENT SANITtIAIV -' . ! CITY OF SALEM NLASSACHUSETTS �� !J BOARD OF HEALTH PublicHealth TM 120 WASHINGTON STREET,4 FLOOR Preveno.Peo-ou Pr tc:e TEL. (978) 741-1800 FAx(978)745-0343 KITVIBERLEY DRISCOLL Iramdinnsalem.com " Lr\R12Y RANIDN,16/12EHS,CE[O,<:P-PS MAYOR HEALn-I AGENT 45,19 WDb-LD►3 \37 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANtITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 p PROPERTY LOCATED AT }O 3 1 S� rn_ Mk O dl C7 UNIT'-s� �i U IS THIS UNIT DDISIGNATED AS RIGHT LEFT FRONT OR BACI,.PLEASE CIRCLEONE r n OWNER/LESSER C i�� MANAGER/AGENT 36� t/I NO P.O.BOX ADDRESS 1 2 1 CSI" S� • ADDRESS CITY, STATE, ZIP S�{XpiVVI W� 0 t D CITY, STATE,ZIP l / ` RESIDENCE PHONE t BUSLNES S PHONE (24HRS) �`1 s�L/�`y BUSINESS PHONE ��' 7�S '1�� TOTAL NUNMER OF ROOMS: 5 n ROOM USE: 1. k� 2. L� 3. 4 gQ-2` 5 �)QJ 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLL EE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F =7"24E-"F PISPECTIONAPPLICAN T"S SIGNATURE DATE I IV lI� Inspectors use only Date on initial inspection: I (l l Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check ft-00AM04check date: If / Notes: I `7Sy L Site Name Pequo Highlands - oiie« , 01,37 Date Received W 9113 Purchase Order# _ "-Batch-#--" Code en pector GL Code j Ll L) Amount to be Paid Approved By - • CITY OF SALEM, MASSACHUSETTS HEALTH AGENT 9J 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#391-07 DATE ISSUED: 8/21/2007 Property Located at: 10 First Street UNIT#S-303 Owner/Agent: Pequot Highlands/Rose Ann Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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. FF T�RD OF EALTH JOANNE SCOTT, MPH, RS, CHO / HEALTH AGENT CODE ENFORCEMENT INSPE OR _o CITY OF SALEM, MASSACHUSETTS Y BOARD OF HEALTH • ♦ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1 800 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, 145 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';�aa,,--�, )�,-& �MANAGERIAGENTQ (-sp� No P.O. Box -L3 No P.O. Box ADDRESSV2_�-,- ,\- `a rQvac ADDRESS CITY4-:" ,,,, VVAA n\01-10 CITY .1 RESIDENCE PHONE ll�L'A BUSINESS PHONE (24 HRS jGC2a�'t �A BUSINESS PHONELq�mN)'l!a`� -�r&� TOTAL NUMBER OF ROOMS: `'T ROOM USE i 1.k'.>.,,-�2,C_r�1.�..,-3Qy _41 �r,ra-vti THERE IS A TWENTY-FIVE ($25.44) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. (� 6 APPLICANTS SIGNATURE _DATE, L �Z k,� INSPECTORS USE ONLY DATE OF INITIAL INSPECT ION_R_,d--I, 7.0 _ -DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEg-a 1 -o ) DATE FEE PAID �;-' 1 v ? 7 1 VPF OF UNIT DWELL!NC� O-HER CHPCK i` ;HE=CK DATE NOTA-S (�� CODE ENFORCE;•AEN i N,PEGTOi, P 2iv+)i3 CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOI,L FAx(978) 745-0343 MAYOR IAIANCINIa.SAI ENU1011 JANE P MANCINI ACTING HEM.P1'1 AGI3N1. CERTIFICATE OF FITNESS CERTIFICATE#151-09 DATE ISSUED: 3/26/2009 Property Located at: 10 First Street UNIT#S-307 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. RHE BOARD OF HEALTH NET MANCINI ACTING HEALTH AGENT CODE ENI=ORC MENTI PECTOR I I CITY OF SALEM, MASSACHUSETTS f�s �I d BOAR)tw 1-17::17:7'1-I 120 W/\stuNo roN S rer.r:r d"'F1.00it 'I'I:.I.. (978) 741-1800 1;INIBERLEY DRISCOLL FAX(978) 743-0343 MAYOR warrr(as,li.ami COM IOANNF',SCOOT, HA:AJ;1'1I AG wr Application for Certificate of Fitness 1N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $5(0.00 1 PROPERTY LOCATED AT 0 I'`r`A �V 1 49.A &AC-11Y) f I A ()\G`)() UNIT# aLL0'7 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE MANAGER/ �Pr lrP tOWNERILESSERZ-2(SAV11 NO P.O.BOX v ADDRESS ` Vfee_ ADDRESS )IR CITY, STATE, ZIP -<S >,`e.vYl M P� CITY, STATE, ZIP A)IA RESIDENCE PHON-F � �j� BUSINESS PHONE(24FIRS)�$Lj �-Jg8,C/ BUSINESS PHONE TOTAL NUMBER OFtt ROOMS: t ROOM USE: 1. `�itPI'1 2,1xA�iimc,m 3.1_i in� 4.i.le rx » 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 �GPr�mm Q- ISIQt iD DATE ,:I/11 /0 ci, fnspectors use only Date on initial inspection: Z--12•o q Date of reinspection: Date of issuance of certificate: Date fee paid:?" Type of unit: Dwellinoc/ Other Check#9RUJV49,Q Check date: 1 Z�Cs� Notes: Code Enforcement Inspector 0 City of Salem, Massachusetts 3 Board of Health �-L�_ 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-17-23 DATE ISSUED: 1/30/2017 Property Located at: (SH2 FIRST STREET UNIT#S308 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7454884 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". , Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS r BOARD or HEALTH 120 WASHINGTON SCRHICr,461 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR ISCOTT(aSALG\I.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: $50.00 F1 �l PROPERTY LOCATED AT O f `VS+ FYI Y `uU UNIT# S-3 ug j� �IS THIS UNIT DISIGNATED AS RIGHT� UN IE FRONT OR BACK,PLEASE CIRCLE O E OWNERILESSER I � - M Li�/ MANAGER/AGENT---O?JZ—t4 NO P.O.BOX L- (1 ADDRESS L (I p�'�' S"I` � ADDRESS Ss/I aM-� CITY, STATE,ZIP c U XcQMII'c /W. A n 11"7 Ot 'n d CITY, STATE,ZIP Q� - RESIDENCE PHONE 1 6 �� 1",l L-f 2t BUSINESS PHONE(24HRS) G X� BUSINESS PHONE SAMA--'Q TOTAL NUMBER OF ROOMS: ROOM USE: 1. 1(1 1 2. 3. ►J r V" 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling_Other Check# Check date: Notes: ^tl? Aparna Panunt Hinhl-,nrk; Site# Date Received Purchase Order# g-I V1 Code Enforcement Inspector J Batch.~r GL Code _q 6 Amount to be Paid —� Approved By 1�1 CITY OF SALEM, MASSACHUSETTS BOr1RD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR PublicHeaI'th 1'reven 1.Prmmn le Pro lrc, TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinO.salem.com LARRv RA,11DIN,RS/RHI IS,CI 10,c;p—rS MAYOR HIAI:II I AGISN'f CERTIFICATE OF FITNESS CERTIFICATE#272-12 DATE ISSUED: 7/3/2012 Property Located at: 10 First Street UNIT#S-309 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 LA AMDIN HEALTH AGENT SANITARIAN 1 I QTY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 1 120 WASHINGTON STREET,4' FLOOR TEL.(978)741-1800 KIMBERLE,,Y DRISCOLL FAX(978) 745-0343 MAYOR LRAMDI IMSALEM.COM LARRY RANIDIN,RS/REHS,C HO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 1c) -,+rj-,-+ sn l P...r, M A me ri r) UNIT# 5-30q IS THIS UNIT DISIGNATED AS RIGHT eEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER--Fe4-un-1- MANAGER/AGENT Rn e Yro,t RP.i r-1 NO P O.BOX J ADDRESS Iz ADDRESS CITY, STATE,ZIP Sn I e-rr MN 01 cl-I n CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) ( ,q-71g) BUSINESS PHONE ( qaa__ i4-t_4 F,+ TOTAL NUMBER OF ROOMS: ROOM USE: 1.LIy 2. 3. exrlmnnn 4. gtrSrm.,. 5. RPA muco L-ta+hmnrn 7. '17, br vmm8A1n1D5= 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE _ �? �— Q 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# G q 20-1gSR Check date: 0 7-o I 1-2 Notes: Code of r ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ` 120 WASHINGTON STREET,4� FLOOR TEL.(978)741-1800 KIMBERLEY DRISCOLL FAx(978)745-0343 MAYOR T RAMDINnaSALEM.COM LARRY RAmDiN,RS/RENS,CT IO,CP-FS HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. 9 giant Lessee Owner/Lessor InF1r54 .51.4-e- 4,_ 5-3Ca1 ,�Q1CM IZ F1rS} 5 et-4 ,fWP_m MA ()�q-J(7 Address ' MA c))Mo Address IQ Flrs-r 58<c e-4- 5-30q — MA Address on unit to be inspected DIG-1 O C�12a I> Date Updated 5/23/11 <" CITY OF SALEM, MASSACHUSETTS BOARD OF 120 WASHINGTON S'rRL'ET,4f0 FLOOR TEL (978) 741-1800 IiIM1I33LRLLY DRISCOLL FAX (978) 745-0343 lVT e VnP L,\RRI,R,\NIDIN,RS/RFI IS,CI IO,0145 HliAla'II AGI(NT CERTIFICATE OF FITNESS CERTIFICATE #235-11 DATE ISSUED: 7/22/2011 Property Located at: 10 First Street UNIT#S-310 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 !� 'IRR HEALTH AGENT CODE ENFORCEMENT INSPECTOR Q-TY OF SALEM, MASSACHUSETTS IioAltl7orl-li:,v:rl-I 120NN`ASIIINOTONS'IT2i irr,4",A1.00c _ -- h1MBF1 I-Ey DRISCOLL F -1(978) 745-0343 MAYOR lscf n :"ttr:'m'Lm,i.(")-Nl 10ANNE SCUTI', Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 305 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABI'T'ATION." QL/ FEE: $50..d00"� PROPERTY LOCATED AT y� l,rs� tFt"� ;xtLTvr1, 1I/A bll?� UNIT# �IS THIS UNIJT�DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE E CIRCLE ONE ,� OWNER/LESSER f.2' 0u t7;dhl4nclS MANAGER/AGENT /�ll� ?5a kt1 aki " , NO P.O.Bax j ' ADDRESS �i��y 577204- ADDRESS CITY, STATE,ZIP c ydtl.P0w_ MA 14111-0 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) VI-1 T — �0 r BUSINESS PHONE TOTAL NUMBER OF ROOMS: T ROOM USE: 1. 0-t!i)'v1 2.a*xlmm 3.Li✓/BYO ZVM4. ,<'l d%e-i! 5. 6. 7. 8. J 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 IS PAYABLE AT THE TIME OF INSPECTION APP LICANT'SSIGNATURE, re+ �. —`�— J DATT; !`L Inspectors use only Date on initial inspection: —7/Q ti I l/ 1, Date of reinspection: Date of issuance of certificate: l� 11 f Date fee paid:_ � Type of unit: Dwelling_1/""'Other Check#—{ u Yiqq-���tB11}}jheck date:— a-i Notes: Cod Erfementnspector R CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR PublicIiea ith Prevent.Yrom"te Protect TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lxamdinaa salem.com LARRY R[1bIUIN,Rti/RI?HS,CIIO,CP-FS MAYOR HEM ri-IAGUNI' CERTIFICATE OF FITNESS CERTIFICATE# 131-13 DATE ISSUED: 4/12/2013 Property Located at: 10 First Street UNIT#S-312 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 I ILAREMhRA MDIN HEALTH AGENT SANITARIAN a 131 � �I CITY OF SALEM, ..NVSSACHLSE"ITS BokRDo! Hr.urtl 120 WASHINGTON STRFLT,4,f,FLOOR —'r 978)7111 KI BERLFY DRISCOLI ( - - 800 F'-�x(978)745-0343 MAYOR nTras t,Fac CO\I jo-"' N'E SCOT-', HEALTH GEN-1 Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "14INIMUNI STANDARDS OF FITNESS FOR HUMAN HABITATION." }O n lFEE: $51 A 0.00 PROPERTY LOCATED AT 1 �TrS� �` �c, )eM, 44 C IVO UNIT4 IS THIS UiNIT}D{ISICNyATE}D AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE j OWNER/LESSER f eolvtll t l�q� IG�WS MANAGER/AGENT,._ v_a �Ir� t(J." NO P.O BOX ll ADDRIESSd F-S S ADDRESS 1A CITY, STATE,ZIP �)0h. CITY, STATE,ZIP Sa 6n, /0,4 01ri 10 f RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 01-7t -- 7CK' LEkq TOTAL NUMBER OF(ROOMS: n rf rC t ROOM USE: 1 k,-1 L1\ 2.1�YFt�r4r�rt 3. tvr` grram 4. PP"rm 6. 7. 8. U 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 ATJHE TIME OF INSPECTION APPLICANT'S SIGNATURE �l��PIAv M� DATE —A Insoectors use only Date on initial inspection: x'12,} Z Date of reinspection: Date of issuance of certificate: i Z 1 Z Date fee paid: Type of unit: Dweli:nv U" *� Other Check W0'0-e A Check date: Notes: A i - 1 ode Enforcement Inspector City of Salem, Massachusetts P`'' Board of Health h 120 Washington Street, 4th Floor, Salem, PubliCHealth MA 01 970 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#: GHI-46-472 DATE ISSUED: 11/30/2016 Property Located at: 10 FIRST STREET UNIT#S-401 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. &rejZLOI'�-%( Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • �?�'� 1' CITE' OF SALEM, �NLNSS--ICHUSETTS Bo.aRo o;HE_�I.rrt 120 CZ ASHINGTON STREET,4'FLOOR PublicHealth TEL. (978) 741-1800 FAA(978)745-0343 KDNBERLEY DRI,COLL ltamdin(d salem.com KkYOR L,\mn R:L�DI ,W REFis,cFio,c:r-Fs HEjLTFI AGENT Application for Certificate of Fitness IN ACCORDANCE �VITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUNLAN HABITATIONN" FEE: $50.00 �1 PROPERTY LOCATED AT 10 C -S�- UNIT- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACF APLEASE CIRCLE ONE 0�2VER/LESSER lA ` �V1CY > NLkNAGER/AGENI 50ar\ NO P.O.BOX ADDRESS ADDRESS �LLsII CITY, STATEZIP AT01q7D CITY, STATE,ZIP RESIDENCE PHONEc1- 9' �` S ' 4 0i-4 - -__— BUSINESS PHOINE(24HRSl Sa ✓�^ L BUSINESS PHONE czv� TOTAL NUMBER OF ROOMS: q ROOM USE: 1. ICA, �— r 2. � 3. �;rL 4. &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 TLME OF INSPECTION APPLICAN P'S SIGNATURE DATE Insnectors,use onlv Date on initial inspection: 12�f- Date of reinspection: Date of issuance of certificate: Date fee paid: - — Type of unit: Dwelline---4—Other Check,._Check date: Notes: 1, L`-1�151 __ Sd•�Hama P?r, �r,(�'i Vlhi-n,�{q Site 4 01?7 Date Received —IP-1-4 p(— ,� Purchase Order# — 5'— kV0— 407 men ctor Batch;<. GL Cods 4rount to be Paid Approved By (�( f • oo CITY OF SALEM, MASSACHUSETTS $'zc BoARD OF, Hr?-\r,TII 120 WAM-IINGTON STREET,4°1 FI c ( )R Ter_. (978) 741-1800 hIDIl3i R1.P_:Y DKISCOLL FAX (978) 745-0343 MAYOR lramdtaamsalem.com MARRY RAMI)IN,RS/RN IS,CI 10,CI'-FS HI',A1.n l AG i?M, CERTIFICATE OF FITNESS CERTIFICATE#389-11 DATE ISSUED: 9/30/2011 Property Located at: 10 First Street UNIT#S-402 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 OF HEALTH LARRY RAMDIN HEALTH AGENT COBIFENFORCEMENT INSPECTOR l CITY OF SALEM, NLkSSACI-IU SETTS aS rc 8 I30„ IIU m 1-Il.::,l:l'I-I .J 120 WASH INCTON S Para:r 4”'Fl.c m _ ( ba..{97&; 741-1 FOU KIMBERLEY DRISCOLL, Fns (()78) 745-0343. MAYOR i;ri mr(aram ray.Com .JOANN]"SCC TI', 4-1 L'.a1,1'Ii dGF,N'i' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, l05 CMR 410.000 "MINIMUM S'T'ANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT S-1 . 44— , �f Q 1OR-0 UNIT# sS T�Z IS THIS UNIT DISIGNATFD AS RIGHT LEFT FRONT'OR BACK,PLEASE, CIRCLE ONE � OWNER/LESSER-;. 4y& A014noJ� MANAGER/AGENT / (tfi�5 /Yl14 J� NO Y.O.BOX �7' _ / �.I ADDRESS /2 i=CCl��7 J7//P/ ADDRESS CITY, STATE,ZIP -me?L yt� Mk CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: '1 ROOM USE: 1.LfVl/Jtf fGd>t12. r(OAtsI 3. Aiih / 4.,c D?nrt 5. 6. 7, 8, 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO TI IE CITY OF SALEM BOARD OF HEALTH THT FEE IPAYAII#<E AT THE TIME OF INSPECTION / APPLICANT'S SIGNATURE ! DATE /I/- Inspectors //-Inspectors use only Date on initial inspection: ! f/ Date of reinspection: /r' Date of issuance of certificate: q�3 11! Date fee paid: tet/133 111 Type of unit: Dwelling V"Other_ Check#91d 0703 Check date: '3 Notes: Code Enorcem nt Inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, y Prevent. Prd,note. Prmwt. MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-373 DATE ISSUED: 10/31/2017 Property Located at: f�012 FIRST STREET UNIT#5404 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 DwellinglRooming 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 V _ 7 SANITARIAN HEALTH AGENT CITY OF SALE\I y ;i=tri n .; Bel\i�I)Oi Hi .\I:I;i 4' FIcx0 TE:-(978;742-IKOI KIIIBERLEY DRISCOLL FAX(978)745-0343 bLAYOR r iTT �tit F CO, jo-I-'NE SCO'rr, HE.\LTH AGENT Application for Certificate of Fitness IN ACCORDANCE `V I TH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 -NI_TNINIUM STANDARDS OF FITNESS FOR HUNtAN HABITATION:' / FEE: $50.00 PROPERTY LOCATED AT ` U UNIT-6--�Gq IS THIS UNIT DUIGNATED AS RIGHT LEFT FRONT OR 6aCfi.PLEASE CIRCLE 05E OWNERTLESSER eovloi - alfvto- t- 1NLaNAGERIAGENT � U" NO P.O.BOY ADDRESS 12 SIF( -- ADDRESS S%WC � CITY.STATE. ZIP � OI C17D CITY.SrATE.ZIP JlXV� 2 RESIDENCE BUSINESS PEOlc(24HRS) BUSI-NESSPHONE { t��/2A• TOTAL NUMBER 1O�F.ROO;MS: -' ROOM USE: 1. 4�_ 1 ? . —...3 I�GI(�1/� 4. 5. 6. 7, THERE IS A FIFTY(S50) DOLLAR FEE, PAYABLE BYCHECK OR NIONEY ORDER TO TI[E CITY OF SALEM BOARD OF HEALTH THIS FEE 15 PAYABLE AT THE TIAL.OF INSPECTION APPLICANT'S SIGNATURE DATE Insoectors use only Da-,-1 on ini:iai inspezt:on: Da:e of reinspect:o Date o:`iss:a n,---of c'ifica:e: Dre fee p-aid: Type of u^i:: Dwel. 0:n_ Othe; Check Ch--k date: Notes: _, _..... ..., _...., . - Code Enforcement inspector City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Public Health MA 01970 Preveot. 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-15-66 DATE ISSUED: 5/7/2015 Property Located at: 10- 2 FIRST STREET UNIT#5404 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 SANITARIAN JOS CITY OF SALEM, IVLASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4'FLOOR P11b1icHealth STREET, Prevent Pm oum Protect TEL. (978) 741-1800 FAX(978) 745-0343 Iii IBERLEY DRISCOLL lramdinnn_ saleraxom MAYOR LARRI'Rnntn[N,RS/tu:tts,ctto,Cl,-[."s HEALntAGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NMNIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" r I FEE: S50.00 PROPERTY LOCATED AT 10 T" l rX51 <:7A I L ^^4 M k Y 1 Q 0 76 UI IIT#S-'q IS THIS UNIT DISIGNA 1TED AS RIGHT LEFT FRONT OR BACK PLEASECIRCLEONE OWNER/LESSER \u nd s MANAGER/AGENT v6ar\ '� �SSt�( NO P.O.BOX '�• IIIJJJ ADDRESS t 7 I ,I_,5� AAA ^/� I �7 ADDRESS ��� CITY, STATE,ZIP S-7ICpJ)r ► 1, /t/V'T10 101 /D CITY, STATE,ZIP SSR RESIDENCE PHONE q ! o' 7 4S ' LA a L� BUSINESS PHONE (24 s BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. K1 r 2. I-A?— 3. g 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 Sl s I S Inspectors use only Date on initial inspection: �71�J I�� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Site Name Pequot Highlands euro A 10117 Date Received Purchase Order# G Batch* Code EnVorc6&nt Inspector GL Code 9 n Amount to be Paid S �6 Approved By _ _ r e "ND'T'�� City of Salem, Massachusetts i Board of Health S 120 Washington Street, 4th Floor, Salem, PublicHeaI'th MA 01970 Prevent. Promote Prnteet Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16-61 DATE ISSUED: 2/26/2016 Property Located at: 10 FIRST STREET UNIT#S-404 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, Larry Ramdin, MPH, RENS, CHO HEALTH AGENT SANITARIA CITY OF SALEM, MASSACHUSEI'I'S % `'r/ ns BoARD OF HEA-LTH 120 WASMNGTON STREET',4"`FLOOR Pl ublicHeath TFL.(978) 741-1800 RAX(978)745-0343 I EBERLEYDRISCOLL Iramdin(a..salem.com MAYOR LARRI'RAUDN,RS/REFS,CFO,cP-rs HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE NVITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "NUNIMUM STANDARDS OF FITNESS FOR HUhLAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT 1 O -FrS�S+. � l , D LQ 76 UNIT#S-L( IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAM PLEASE CIRCLE OHNE � OWNER/LESSER ��W �\I� k Cf iAS MANAGER/AGENT 3oa 4'�u sstP NO P.O.BOX V ADDRESS `� _ v S� ADDRESS CITY, STATE,ZIPale)f y) i MA,10 1/�! !—7 D CITY, STATE,ZIP SSR RESIDENCE PHONE q-7 K 745 - 4A a04 BUSINESS PHONE(24HRS) SdrA,4— BUSLYESS PHONE C--a� TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. L�k� 2. r-(T 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE-,VI BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TL\,IE OF LNSPECTION J APPLICANT'S SIGNATURE DATE Inspectors use onlv Date on initial inspection: (0 2/Z?1 Date of reinspection: Date of issuance of certificate:,02/9 U201x Date fee paid: Zt/2 tgL Type of unit: Dwelling--v/ Other Check# 6060 Checkdate: 02112 24a Notes: 1L *r4cemten7tp`cctor CI'1"Y OF SALEM, MASSACHUSE rl's BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR PuliC .fli Prevent.Promote.Probe. TEL. (978) 741-1800 FAL(978) 745-1343 KIMBERLEY DRISCOLL lramdin(n�.salem.com L;lliRl'R,1AfD1N,Rti f lU:11S,f;l[O,a)-j-,MAYOR HFAIXI I AGIdNT CERTIFICATE OF FITNESS CERTIFICATE#269.13 DATE ISSUED: 7/31/2013 Property located at: 10 First Street UNIT#S-405 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. AEFOR THE BO RD OF EALTH V LARRY RAMDIN HEALTH AGENT SANITARIAN l } CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4T" FLOOR P&HcHealth > Prevent.Promote Protect TEL. (978) 741-1800 FA-x(978)745-0343 KIMBERLEY DRISCOLL lramdinna.salem.com MAYOR LARRY RA�rom,RS/IiE:f IS,Cyto,(Y-PS HEAL:fTI AGI'.NT -1 " �SCK)S -7/2-12> Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEEL: $50.00 PROPERTY LOCATED AT ✓S � 1 t. IM I,�� C1 UNIT# (� IS THIS UNIT IDIISIGNLTED AS RIGHT LEFT FRONT'OR BAC PLEASE CIRCLE ONE OWNER/LESSER ` '�q' 00� ` 'C)V\ ICLY\&S ivlANAGER/AGEvIT ADDRESS ADDRESS CITY,STATE,ZIP SCL, M , VM S 1 C, �0 CITY, STATE,ZIP RESIDENCE PHONE( [ BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 1 I31 I I3 Date of reinspection: P P Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date:Q ` Ndlltc repuot Highlands Notes: Site# 0137 Date Received JJ I J 2 �I 1 Batch# 'S21G � GL Code Amount to be Paid . Codedor ent Inspector Approved By AA • Ii tAlis kwiktag- 108251135 VIII�IIIIIIIIIIIIIIIIIIIIIII r' b0ND City of Salem, Massachusetts /T I .a - 1P Board of Health 120 Washington Street, 4th Floor, Salem, Pub1iCHB81th MA 01970 Prevent. Promole. Protea 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-17-26 DATE ISSUED: 1/30/2017 Property Located at: 10 12 FIRST STREET UNIT#S406 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. pIrl A,L Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 3 CITY OF SALEM, MASSACHUSETTS BOARD of HEAI.TH 120W,aSTnNc'roNSrxLI,r,4 FLoolt TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR iscoT-r(a�s.m.r.m.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT to �� � UNIT# S—YU(o IS THIS UNIT DISSIcIG•NAppT,�,E•D.�A-�S RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER(LESSER �/�l1I5 —&,�CXJ1/�1 L—r MANAGER/AGENT Y_ Oa_)A- S �(X NO P.O.BOX ff 11f ADDRESS (Z. `SI c 1�p1 O� ADDRESS A �A" , . /� CITY, STATE,ZIP JG�.r-Ci1M Ip( lnJ �J� `� U CITY, STATE,ZIP a1N� RESIDENCE PHONE RR t1 �`�J — —1 o—1 BUSINESS PHONE(24HRS) . BUSINESS PHONE TOTAL NUMBER OF ROLOMS: Qn p ROOM USE: 1. P T 2. K 3. F� 4. V)rOA 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 SIGNATURF DATE Insoectors use only Date on initial inspection: 1 Date of reinspection: Date of issuance of certificate: ��� Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Site(Name Site 4 Date Received Purchase Order# Code Enforcement Inspector l�If Uih Batch --� GL Coda: ZR U Amount to be Paid Approved By `OND'�"�° City of Salem, Massachusetts lu 3W Board of Health a 9 " 120 Washington Street, 4th Floor, Salem, PubliCHea Ith MA 01 970 Prevent. Promote. Protect Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-282 DATE ISSUED: 9/11/2015 Property Located at: 10 FIRST STREET UNIT#S407 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� /!!�Gn HEALTH AGENT SANITARIAN Larry Ramdin, MPH, REHS, CHO /' J i CITY OF SALEM, MASSACHUSETTS Bo�R.Do HF i.cx 120 LF.ASI11NG ON STRF:F.T, 4''FLOOR i EL (9 7 8)741-1800 ii:1'iLiER EY DRSCOU i\ (97St 745-0343 iv'1AYOR 1«'()'170's uyu COM 10ANNE SCOIT- f'IE:ALTII AGENT Application for Certificate of Fitness M ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FIINESS FOR HUMAN HABITATION." l FEE: $50.00 / PROPERTY LOCATED AT 1 p, ^�Fi (S 5 I � .� , f t / UNIT S `W 7 IS THIS uNrr DIS1GNATED AS RIGHT LEFT FROYT OR BACK,PLEASE CIRCLE ONE / OWNERS ESSE'R (�ZA UVW - }-k kd(j,MCMANAGE'R/AGENT '7W-VI QUSS'e N O P.O.BOX ADDRESS 1 2T—i{ tST" ADDRESS <w*yLe CITY, STATE, LIP A --y i ( � . .AWil_-1q' OITY, STATE.ZIP RESIDENCE PHONE pp BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. r1(r 2. 3. Q) ---1 4. 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 insnect3rs use only Date on initial inspection: OW13/2,01 S Date of reinspection: Date of issuance of certificate:/(�� -?12DIJ- Date fee paid�X/2-0ZS' Type of unit. Dweilina- �Otner_ Chem4ffJ21.1-U.zCheckda.e:i27V2n1.S' Notes: fi j sr Site Name Peq,,,H� __qh an s Site# p11, Date Received Purchase aseOrOrder# C r�i of rcement I ector Batch# GL Code Amount to be Paid _ Approved By CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4t"FLOOR PablicHealth STREET, Prevent.Promote-Protect. TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL lramdinO.salem.com LARRY R\M1ID1N,Rti/Rlil-IS,0-10,CP-ES MAYOR HEAD;rr r AG i SNT' CERTIFICATE OF FITNESS CERTIFICATE#268-13 DATE ISSUED: 7/31/2013 Property Located at: 10 First Street UNIT#S-408 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 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 _ LARRDIN HEALTH AGENT SANITARIAN ° =1� CITY OF SALEM, NIASSACHUSE'I`TS BOARD OF H&kL.TH 120 WASHINGTON STREET,4r4 FLOOR PucHeaIth TEL.. (978) 741-1800 F.�X (978)745-0343 KLvIBERLEY DRISCOLL lramdin(@,,salem.rr)rn VL�YOR LARRY RAMIDIN,R.,/Ri REI IS,C1 10,Cr-rS HEAL fhi AGENP SL(oa 1 12 ( l 3 ] Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" ((�' LCA _ FEE: 550.00 PROPERTY LOCATED AT U T \f S 171 T e �l I�{�. �'V f V -I UNIT S �� f IIS THIS UNIT DISII�GNATED AS RIGHT LEFT FRONT OR BAC ' PLEASE CIRCLE ONE OVINEWLESSER t �l )O� I P�\ C�Y�C�S MANAGER/AGENT NO P.O.BOXI JJJ L ADDRESS l Z l'1 (�((� S 1p/�1 ADDRESS CITY, STATE, ZIP (l 1 Q. i �V t` I n`� l 0. CITY, STATE,ZIP RESIDENCE PHONEnn G BUSINESS PHONE(24HRS) BUSINESS PHONE v l 1 , - � L- � l I L( TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5, 6. 7. S. 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: �'3l /�3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: } S� Notes: Rita NamePequot HiOhlands Site# 9137 Eat,: R:zc;.:.d -1 11 Purchase Order# Batch# 1, 119 1 4�3;�` GL Code O Code YdoiVeinent Inspector Amount to be Paid -1�5J Approved By (p /,I );,) kwiktag• 108 251 133 � IIIIIIIIIIIIIIIIIIIIIIIIIIII City of Salem, Massachusetts e ` ' jug, IV Board of Health 120 Washington Street, 4th Floor, Salem, PubIiCHBalth 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-16-473 DATE ISSUED: 11/30/2016 Property Located at: 10 FIRST STREET UNIT#S-409 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. yJe�Ky Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i.. ►, wa t�� r :I TTY' FSALEM, �'( SS C C__ _ O_ _ _�____CFIL�_ETTS 120 WASHINGTON STREET,47"'FLOOR PublicHealth TFL. (978) 741-1800 F.kN(978)74.5-0343 KDJBERI,EY DRISCOLL iramdinnsalem.com L um,RLNNtN,RS/RENS,CHO,C11-IS NLkYOR HEALTH AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CFIAPTER 11, 105 CMR 410.000 "T%1ININIUM STANDARDS OF FITNESS FOR HU?v1AN HABITATION r L C FEE: $50.00 PROPERTY LOCATED AT L U r V1 f S4- . =1 #S O IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEA— l� PLEASE ONE O�'NER/LESSER 7� VVV W� �VtWk "&; MANAGER/AGENT �-/Cd2�sse.� NO P.O.BOX ADDRESS ` 7 _ �(��tS� I/� -7 ADDRESS ALL w�Q CITY, STATE, ZIPIP�YYI AIA' 1O9Dl�l /O CITY, STATE,ZIP s � RESIDENCE PHONE q-7K �45 ' 4 L0 BUSLrESS PHONE(24HRS) Sd--� \r BUSL\TSS PHONE C--LUyy\-C TOTAL NUMBER OF ROOMS: Lt ROOM USE: 1. 2. (_ 3. V a- 4. P2�) 6. 7. s. 9. 10. THERE IS A FIFTY(S50)DOLLAR FEE,PAYABLE BY CHECK OR NIONEY ORDER TO THE MY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TLME OF MPECTION APPLICAv'T'S SIGNATURE DATE Inspectors use only Date on initial inspection: 2_0. Date of reinspection: Date of issuance of certificate' �L Date fee paid: � -- Type of unit: Dwelling Other Check#qq2j2q2qCheck date: Notes: L'ip3 Name Pequot Highlands Data Received Purchase Order ft 1 Lti I(v fp 0 Baan r _r o rcement ctor GL Coda U( �OET U— Amountto Ce Paid U Approved By _ G/2rr CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 K NMERL.EY DRISCOU FAX(978) 745-0343 MAYOR DCR1:FNBAUM(aSni.rtir.Co%I DA\'ID GRELNBAUNI ACTING HIdAI.:PII AGI?NC CERTIFICATE OF FITNESS CERTIFICATE#357-10 DATE ISSUED: 7/30/2010 Property Located at: 10 First Street UNIT#S-413 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 cate of Occupancy. FOR THE BOARD OF HEALTH AVD ID G ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS s 3 Ira Bomm OF 1IFAIXI-1 120\\':\51-IINC'I'UN S'I'It151Cr 4"'FLUOR TISL. (978)741-1800 IUMBERLEY DRISCOLL F- x(978) 745-0343 IVLIYOR S(!0T1(a)s,m.hml,COM 10ANNP.S(.OT], H 121AL171 A(&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." tt FEE: $(50.00 PROPERTY LOCATED AT )O Yi rSV S1(P2A SJe m "A nlq)(-) UNIT# S"�ll IS THIS`UNIT DISIG`NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE r OWNER/LESSER�ert-��c3 tc�y�'c�✓YJ_` MANAGER/AGENT �PcLr)ne Su'I�ri'e_- NO P.O.BOX \ l� ADDRESS.. ADDRESS CITY, STATE, ZIP CITY, STATE,ZIP I c RESIDENCE PHONE )�A BUSINESS PHONE(24HRS BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: IJAA( Lt) 2.LjJ��5 3.1),(\f�, 4 Sv 6.C�Qr� 7.Q xtc� 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 TI INSPECTION APPLICANT'S SIGNATURE /O,/(,n44IL L� DATE / Inspectors use only Date on initial inspection: —7 1.30//6 Date of reinspection: Date of issuance of certificate: -7 h0/0 Date fee paid: 7/jo//U Type of unit: Dwelling 1,/Other Check# -I qac S Check date: (P Notes: Code En 'ement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4�"-FLOOR- TEL. FLOoR TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin(a),salem.com LA RRl'li,\t`IllIN,RS/REI-IS,CI-IO,CP-ISS MAYOR I-II?,11;1'1-i AG I?N'1' CERTIFICATE OF FITNESS CERTIFICATE#26-15 DATE ISSUED: 1/26/2015 Property Located at: 10 First Street UNIT#S-414 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 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY DIN HEALTH AGENT SANITARIAN ! CITY OF SALEM N'LASSACHUSETTS ^ BOARD OF HEALTH J . '�� 120 WASHINGTON STREET 4"`FLOOR PublicHealth CT / e Prevent Prumem.Proles. TEL. (978) 741-1800 FAx(978)745-0343 KINIBERLEY DRISCOLL lramdinaa salem.com MAYORL.�Iu[��RAnm[N,Inti/REFrs,C110,CP-FS HEAL'm AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CNIIt 410.000 "NIININIUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 A � PROPERTY LOCATED AT k r l Y,4 J� r SC& /VM r V� ©1-1p 70 UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 7�W` ��k C!u%4'; MANAGER/AGENT 3oa rN �to-sse, C NO P.O. BOX 1 ADDRESS ' _ S 1 ^nTADDRESS L{W CITY, STATE,ZIP Sar /i/V O9pI� 7D CITY, STATE,ZIP s � RESIDENCE PHONE q 7 9, �45 ' y a0L4 BUSINESS PHONE(24HRS) BUSINESS PHONE C--mnL TOTAL NUMBER OF ROOMS: 5 n ROOM USE: 1. LIF-- 2. K1 3. �l` 4. PJ�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'S SIGNATURE DATE Inspectors use onlv Date on initial inspection: ) -Z,b') Date of reinspection: Date of issuance of certificate: 1 -2,6- ) Date fee paid: Type of unit: Dwelling___' Other Check# C-1C Check date: Notes: Code Enfo cement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH +s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#200-06 DATE ISSUED: 4/21/06 Property Located at: 10 First Street UNIT# S-416 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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. FO HE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR it Apr 20 06 04: 22p Joanne Scott Salem BOH 976 745 0343 P• 2 I 1 � C8"C`f OF SALF-04 MASSACHUSETTS �. BOARD 7F HEALTH t' I20 WASH INGTO1 STREET, 4TH FLOOR SALWA MA 01970 TEL. 91 1.741-1900 FAX 97 -745.0343 JOANNE 5CC1 , MPH, R5, CHO Kimberley Driscoll HEAL H AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE VVITH STATE SANITAF) CODE, CHAPTER 11, 105 CMO 410.000 "MINIMUM STANDARDS OF FITNESS FOR iUCM'AN HABITATION". PROPERTY LOCATED AT_ Z0 .,�I(Sr 5�r�z iPM� 19> UNITk3_Vl � IS THIS UNIT DESIGNATED AS higa LE T FRON BACK PLEASE CIRCLE ONE ONINEFVLESSERr aT N t 1�MANAGERtAGENT No P.0,Box NO P.O.Box ADDRESS I Z Ft -4 S}(PP{ _ADDRESS CITY_ SA 12d_t h _ __._CITY RESIDENCE PHONE _ _ :USINESS PHONE(24 HRS.) 978-7q S-y OUSMESS PHONE_ TOTAL NUMBER OF ROOMS:—_ H.00M USE: 1.,_.. _2._ _-3. 4._ _ . _-_8. 7. THERE IS A TWENTY-FIVE($25.00)DOLLA 1 FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH iEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE_ _DATE I INSP EOfj- USEONLY DA I t OF INITIAL;NSPFCTiON .� ' ' 4 DATE OF REINSPECTION._.. _ DATE OF ISSUANCE OF CERTIFICATEI--,,71 Dt- DATE FEE PAID' __ ` 6 TYPE OF UNIT: DWELLING (_-OTHER. _. CHECKµml �3. CHECK DATE NOTES:— — f .,ODE cNFCRCEMENT INSPECTOR 9/28198 ND City of Salem, Massachusetts r f • 1. Board of Health 10 120 Washington Street, 4th Floor, Salem, Puth 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-17-55 DATE ISSUED: 3/2/2017 Property Located at: S12 FIRST STREET UNIT#S417 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 CITY OF SALE-M. NV' sSACHUSETTS BoARDoi He.\i:rH 120 WAST[INC,rON S tR1:I:r,4'"FLOOR TEL. (978)741-1800 VJMBERLEY DRISCOLL FAX(978)743-0343 NL1YOR isrorrrs i.r i.COM JOANNE SCOTT, HE-\LTiI 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 /` � I— FEE: $50.00 �7 PROPERTY LOCATED AT L V 1 '! (> UNIT#� 1 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR B%CK,PLEASE CIRCLE ONE OWNER/LESSER ? — SA I P VV1 L-0 MANAGER/AGENT S (J" R-(&SSP—fl NO P.O.BOX ,, • , r� ADDRESS ADDRESS cSa � CITY, STATE,ZIP (.tM A .7�) CITY, STATE,ZIP---�aw—o— RESIDENCE PHONF�_ _ A Al--P BUSINESS PHONE(24HRS) L4 BUSINESS PHONE TOTAL NUMBER OFF ROOMS: ROOM USE: 1. Ill 1 2. 3. G�r 4. QXV". 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 C/I Insvectors use only Date on initial inspection: ��1Jn` /�� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: DwellingOther Check# Check date: Notes: / Site Name Pequ m LP 1985 Site# 1985 Code En fo cement Inspector Date Received 1 "7 I Purchase Order# GL Code b 11Ll 11 V Amount to be Paid hU Approved By k w co Nm a City of Salem, Massachusetts a Board of Health 1P ,M o 120 Washington Street, 4th Floor, Salem, Public Health MA 01970 ple11.t P,nmme Pooled 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-15-369 DATE ISSUED: 11/6/2015 Property Located at: 10 FIRST STREET UNIT#5418 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 wth 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 1J BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR PPreventubliromote Protect cHealth TEL. (978) 741-1800 FAX(978)745-0343 KRvIBERLEY DRISCOLL lramdin(nsalem.com MAYOR LAluil�wAnrom,Rs/RFI[s,cI[o,CP-FS HEALTH AGFNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" \ L 1 FEE: $5/0.,0,,0,,, /� PROPERTY LOCATED AT 104 " J 1 �I �I X.�I/ l /t/ �I O 7 D UNPT# S g IS THIS UNIT DISIG1NA1TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER t ` Y�\ands MANAGER/AGENT Soar\ "�s5e-� NO P.O. BOX u 1 v ADDRESS ` �__�Y�I�it' 5� q 10170 ADDRESS /�V CITY, STATE,ZIP I1CJ►' 1 /iI T 010170 CITY, STATE,ZIP RESIDENCE PHONE q�1 K 7`"'►'S - LA a L� BUSINESS PHONE(24HRS) Sa m BUSINESS PHONE C--�L� TOTAL NUM13ER1OFROOMS: / ,H / ROOM USE: 1. ST 2. (Ae� 3. 6PC l 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 TOF INSPECTION 7 1 o�2v�-S APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: MI)WID15' Date of reinspection: Date of issuance of certificate:10/z9/2015- Date fee paid: 1.1/0 4/2A.L5- •r Type of unit: Dwelling_.V/ Other Check#992115.2L Check date: 101211261S Notes: ' 1-7 49,5q Site Name Pequot Highlands Sits I Date Received Purchase Order# A Batch# C nfo ement Iinwector GL Code Amount to be Paid Approved By CITY OF SALEM MASSACHUSETTS HEALTH AGENT w 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#521-07 DATE ISSUED: 10/17/2007 Property Located at: 10 First Street UNIT#S-504 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 JOANNE SCOTT, MPHR-S, CCHHO` HEALTH AGENT CODE ENFORCEMENT INSPECTOR i Ci't'y OF SALEM, MASSACHUSETTS BOARD OF HEALTH + + 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 ' TEL. 978-74 1-1 800 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 AT�Q Y �.� c� _ �2� gln,A__UNIT 4 G>\tel C� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE r OWNER/LESSEF�Nr�c �Ai��r�vv �CMANAGERIAGENTr, � �� No P.O. Bax NO P.O.Box l ADDRESS I2,c�—�tc4 :e4-" ADDRESS t CITY — a V } 1`\ A, O�C-n C`,CITY �i�l ttl RESIDENCE PHONE A t4�- BUSINESS PHONE (24 HRS)L __e BUSINESS PH0NEU� 19-X—) 4 `T TOTAL NUMBER OF ROOMS. __ i 3 ) ROOM USE. t..VLA 1.2N�� r�e� �t cr�r__oo, 5 6. 7 B. THERE 1S 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. APPLICANTS SIGNATUREQ,1,c}I�Q _DATE,_ INSPECTORS USE ONLY 1 2A_F QF INIl'AL it_ISPECTION le- P'7 —U 7 DATE OF REINSPECTION DATE OF ISSl1ANCE OF CERTIFICATE/�O - 17'z ? DATI- FEF PAID -TYPE OP UNIT. 'Jl^!EL In1C_, k OTHER C-HECK 4 t CHECK DATE ! U NOTES _ODE ENPO( -10Ei:^ N f 111SPE.;T'DR ' City of Salem, Massachusetts r' � Board of Health 10 120 Washington Street, 4th Floor, Salem, PUbflCHCalth 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-17-51 DATE ISSUED: 3/2/2017 Property Located at: &12 FIRST STREET UNIT#S506 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 CITY OF S -1LENI, NLASSACHUSETTS Bo U,Dor HEALTH 120 WASHING IONS 11U:hr 4"FLooR TtcL.(978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 i 'L,YOR )scorns v n[.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." L FEE: $50.00 PROPERTY LOCATED AT 10 �'Yr S 1 S�(iQ Q/� UMT#-�-D(0 IS THIS LINT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ? - SA lP Vv1 1--P MANAGER/AGENT J 0" NO P.O.BOX ADDRESS 12 F,+'rSp �, WCLA aDDRESS--S"V--2 CITY, STATE, ZIP MA 01 '�7U CITY, STATE,ZIP RESIDENCE PHONE C-41 " BUSINESS PHONE(24HRS) BUSINESS PHONE Qa.1AAL TOTAL NUMBER OF ROOMS: ROOM USE: 1. IGS 2. 3. V4a� 4. U VV. 5. t'YL6AA 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 DATF '] Insoectors use only Date on initial inspection: /?-/;q/ ( Date of reinspection: Date of issuance of certificate: I �I �� Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: kece!:ed -se order# Code Enfo cement Inspector --►—ZS 8i_5 z_ I `_ ✓ r "r,Uve 0 i;81d {11v'-/1111„ ��;r.�o�sd By Sa^ CITY OF SALEM MASSACHUSETTS BoaRD OF HE.jLTx 120 WASHINGTON STREET,4°1 FLOOR Pubventlicm"te Protect Health - TEL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL 1ramdinna.salern.com MAYOR Hi R.\hIUIN,RS/121�1IS,(11[U,CP-NS Hi',\i f I-1 AG 17.NT CERTIFICATE OF FITNESS CERTIFICATE#150-14 DATE ISSUED:4/28/2014 Property Located at: 10 First Street UNIT#S-508 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 --0" ',,..ems 4E1. �i� LARRYIRAMDIN HEALTH AGENT SANITARIAN •• �A i t tl CITY OFSALEM, N/lASSACHUSE- TS BO.1RD of HauTI= 120 WASHINGTON S'I'REE'I',4r'FLOOR PubliCHealtti TEI,. (978) 741-1800 FA.Y(978)745-0343 KIMBERLEYDRISCOLL L-arnc3ie 5alem.com MAYOR Ltu2RY RANMIN,RS/REHS,CICO,(I'-FS HEMP.-t AGI,'NT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 `MINIVNM STANDARDS OF FITNESS FOR H RKAN1 HABITATION„ FEE: $500.c.0"�0 PROPERTY LOCATED AT 10 R(S f G/ C? !UNI OZ IS THIS UNIT DISIG�NATED AS RIGHT LEFT FRONT OR BACK,PLEASE;CIRCLE ONE OWNER/LESSER RA !/01`11_(,�t/ vLk AGER/AGENT 50&r) NO P.O.BOXI' .ADDRESS (2 Taj S ADDRESS CFrY, STATE, ZIP =xt(.F✓v1-t CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) GI J g` ?Lf`7 ' L/MY BUSINESS PRONE 1 ' TOTAL N-UNIBER OF ROOMS: C ROOTS USE: I. 2. 3. g r 4. PJ 2— 5, 6. 7. 8. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY HECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS71; TL�rIE(K' N PECTION APPLICANT'S SIGNATURE � DATE f ,7} Inspectors use only Date on initial inspection: `�- 2- '-Aj Date of reinspection: Date of issuance of certificate: ZP_l � Date fee paid: Type o"unit: Dwelling --t:::� Other Check# _Check date: Notes: A Site Name Peauoi Hij�2ds sere w -' Q137 Date Received ,4 I"_1 j y Purchase Order# Bich# Code Enforcement Inspector GL Code Amount to be Paid Approved By _ I p u ? CITY OF SALEM, MASSACHUSETTS BOARD Or HEALTH 120 WASHINGTON SI-RDFT,410 FLOOR g11111. alth TrL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL ltatndinna.salena.com 1..U2RS R,\MI)1N,RS/RISI IS,CI IO,(T-17S MAYOR :I'I I A(I'VNI CERTIFICATE OF FITNESS CERTIFICATE# 163-12 DATE ISSUED: 4/23/2012 Property Located at: 10 First Street UNIT#S-509 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 LA*Z'Y RAMDIN HEALTH AGENT SANITARIAN ` L+ t`CO IV L CITY OF SALEM, I LAsSACHUSETTS BOARD of HrAl TH 120 WASHINGTON SIRr--:}:i',4"FLooR Tt:j- (978) 741-1800 KIAMBERLEY DRISCOLL F ax(978)745-0343 NL,�YOR N'OTT(aSAL.B\(.CONI �O ANNE SCOTT, HEALTH AC:FNT 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: $5/09.00 (v PROPERTY LOCATED AT Ili 1%QST S7 &4— /r(r(�L ���' / TIMT�✓J"��f IS TIfISGUNI/T DISI/GNATED AS/RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE �� OWNER/LESSER f/IGCIYIIalelClS MANAGER/AGENT NO P.O.BOX L / ADDRESS l� OMIS"l y6 -F� 1 n ADDRESS CITY, STATE, ZIP ; 1��� �'�, //!9T ���lL ' CITY, STATE,ZIP RESIDENCE PHONE /(� //C� L� BUSINESS PHONE(24HRS) BUSINESS PHONE � � V 6 ' T U 0 / TOTAL NUMBER OF ROOMS: 5 ROOM USE: 2. 711i1Mlz)i [3.134iRM 4.347-774 51 dP77) 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 THI EE IS PAYABLE T THE TIME OF INSPECTION r APPLICANT'S SIGNATURE P.y . G rZ DATE Inspectors use only Date on initial inspection: y�Z3- I L Date of reinspection: Date of issuance of certificate: L)'13' I`A- Date fee paid: 23'11 Type of unit: Dwelling/ Other Check 6'120)fk-IL Check date: (�— Notes: ^�R Code Enforcement Inspector City of Salem, Massachusetts m Board of Health 120 Washington Street, 4th Floor, Salem, P, 1111 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-15-328 DATE ISSUED: 10/9/2015 Property Located at: 10 FIRST STREET UNIT#S-511 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,--A4� Larry Ramdin, MPH, REHS, CHO f/ HEALTH AGENT SANITARI c� CITY OF SALEM, NL, SssACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR PublicHealth Prevent.Prumam Protea TEL. (978) 741-1800 FAX(978)745-0343 KINIBERLEY DRISCOLL IramdinOsalem.com LARRY RATNIDN,RS/REHS,CHO,CP-PS M.1YOR 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: $5`0..00, / �� PROPERTY LOCATED AT O S� 5. cSa ViYY I . J v 1 Q a/ 7O Ui`IIT# 5 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ��l0 �`d_A(4S MANAGER/AGENT 30ar\ e�'ASSe—I ( NO P.O.BOX ADDRESS n A^ -7 ADDRESS S�IrY�Q CITY,STATE,ZIP ICJI ' 1 'II AAA V/C'0 I� /o CITY, STATE,ZIP RESIDENCE PHONE q-7 g `' �45 . 4 N BUSINESS PHONE(24HRS) Sn-✓�� BUSDtiESSPHONE C � TOTAL N'IMBER OF ROOMS: ROOM USE: 1. Kk I 2. 3. �Rk 4. UGZ: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 A/T� THE TIME OF INSPECTION APPLICANT'S SIGNATURF I / DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: OqW/201S Date fee paid:�D 01 �- Type of unit: Dwelling Other Check#22-11�3n Check date:9/.J 1 ADI Notes: 7 L-469 Site Name Pequot Highlands c,ro it m i7 Date Received Purchase Orderppm Batch nf9 cement ector GL Code (g � / Amount to be Paid � D_ Approved By l CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 130 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DG R I'r,N IBUMOSAI Z\1.CON1 DAVID Gm:'I, UNI,RS AC'IIN(i HFAL'n-I AGI_,NT CERTIFICATE OF FITNESS CERTIFICATE #502-10 DATE ISSUED: 10/21/2010 Property Located at: 10 First Street UNIT#S-513 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 AVD ID GREENB UM, RS 11 ACTING HEALTH AGENT CODE ENRORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS !`a Bomm O l-I F'A],11-1 „� 12(1\ti';psi-nNc'roN Srxi:r:r,4 F1.UUA '11I. (978) 741-1800 KIN113E12J-EY DlUSCOLL Fnti (978) 745-0343 MAYOR isrc 10)sa ,pm CONI )(ANNE SCOTT, Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." /_ �V FEE: $500../0.0/ n� Q / PROPERTY LOCATED AT 9D Y-11 ( J&/l !tel !�"in? r ``k UNIT#3—5!3 IS THIS UNIII DISIIGNATED�JAS RIGHT LEFT FRONT OR BACK,PLEASE-CIRCLE ONE � /. I OWNER/LESSER - CG(/�r 9l/G7r 1,4l�c-+' s MANAGER/AGENT NO P.O. BOX (''t U ADDRESS �� ;-d,, rY17—,o.^ l ADDRESS CITY, STATE,ZIP CMlW � I q M CITY, STATE,ZIP q�/qra r/ RESIDENCE PHONE rr—//Q� �( BUSINESS PHONE(24HRS) / T 0' BUSINESS PHONE �rD— �- �U TOTAL NUMBER OFROOMS: + jj ROOM USE: iRd rD7YA 2� Y✓I 3�1��Y✓I 4.1 1 t�G12ti<5. I LVjV� �ml A 6.It/11M �aVMT "tIV 18.1 AIF 'PW 9. 10 j THERE 1S A FIFTY ($50) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE I'S PAYABLE�T THE TIME OF INSPECTION / APPLICANT'S SIGNATURE 2' i Pia / /�( DATE GI l�l I �� C Inspectors use only Date on initial inspection: 16I a 1//O Date of reinspection: Date of issuance of certificate: l(j la l//0 Date fee paid: If)la 1 0 Type of unit: Dwelling­ VOther Check# Check date: 9la 3 ho G9dosgios Notes: de En orcement Inspector L oND `- N City of Salem, Massachusetts vrq PW A . low N Board of Health 120 Washington Street, 4th Floor, Salem, Pi1bliCHeatth 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-17-324 DATE ISSUED: 9/28/2017 Property Located at: 10 12 FIRST STREET UNIT#S514 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 SANITAR11 ;rte CITE' OF SALEM, T\L-�SS ACHUSETTS Bo\ru)of HI AM H TCL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 N L-�YOR IsCOTFG S v.Fu.COSI JOANNE SCOTT, HE.�LTI-I AGENT Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 Ct1R 410.000 NININIUNM STAINMARDS OF FITNESS FOR HUNL4N HABITATION." I FEE: $50.00 PROPERTY LOCATED AT l V S I S' tcX UNIT# IS THIS UNIT DISIG�,ATED AS RIGHT LEFT FROST OR B>CK,PLEASE CIRCLE O-NE OWNER,fLESSER P10 ))N Ol — SCl tf WI t—� NIANAGER/AGENT L U"-V) P44,SJa( NO P.O.BOX " ADDRESSIZ F1+'fS^ ADDRESS .__ <�ouw� CITY, STATE,ZIP \/') A-e)" I M A U 19-70 CITY, STATE,ZIP—�QJ/� f C RESIDENCE PHONE�(��1V-Q-. BUSINESS PHONE(24HRS) BUSINESS PHONE PYX lil/LQ� TOTAL NUMBER OF ROOMS: D ' ROOM USE: 1. 1� 2. UZ- 3. AAI\ 4 A'�CA 'IM 5. A r V^ 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: acre Name Pequot•Salem LP Site# 1985 Date Received Code Enforcement Inspector Purchase Order# GL Code Amount to be Paid Approved By CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4111 FLOOR PablicHealth Prevent.Promote.PratCet TEL. (978)741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL Itamdin(@salem.com L,vtRr R.Xnn)iN,as/Rei IS,ci 10,cr-rs MAYOR HeAt:n t AGrN'r CERTIFICATE OF FITNESS CERTIFICATE#230-13 DATE ISSUED: 7/12/2013 Property Located at: 10 First Street UNIT#S-515 Owner/Agent: Pequot Highlands Address: 12 First Street City/rown: 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 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 LA RAMDIN S HEALTH AGENT SANITARIAN IV y t CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PublicHealth > Prevent.Promote Prnteat. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL lramdinasalem.com MAYOR LARRY RADIDIN,Rti/R]?I-IS,C1 10,CP-FS HEAL:fu AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 I °! 'II V n, IM f�f`� PROPERTY LOCATED AT I O�V1 — Q t :SL(VM S�) IS THIS UNIT 11/�� DIISSIGN`ATED AS RIGHT LEFT FRONT OR BACK PRASE CiCLE ONE 1 _ OWNER/LESSER 1AAut7} 1 \ 1� av J s MANAGER/AGENTI PM(AA 10 S NO P.O.BOX T L ADDRESS 1 2 Y 11(� �'�e�Q�i/l� /,ADDRESS _ CITY, STATE,ZIP I�1rn . Y W Y 1 0 1611(11TY, STATE,ZIP p ' I J RESIDENCE PHONE , ( (BUSINESS PHONE(24HRS) "l 7 7 `'/ S- '1 99`I BUSINESS PHONE -7'K'-7 `1 S' g49—I TOTAL NUMBER OF ROOMS: . .I5 ROOMUSE: 1ii, ePl 2. I;V1�(J Kl'13.�0 (Y\ 4. &�Y4Xn5.�YDiXY) 6.��ffn 8 .., 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE P Y Al TIM F INSPECTION APPLICANT'S SIGNATURE _ DATE 2 Inspectors use only Date on initial inspection: I " 7 Date of reinspection: Date of issuance of certificate: Date fee paid: 1 �/ Type of unit: Dwelling Other Check#aqjn1k� —Check date: °I / I Notes: Code rcement Inspector City of Salem, Massachusetts 1Pi Board of Health 120 Washington Street, 4th Floor, Salem, '�,�Prevent.PromaHe81th th 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-17-27 DATE ISSUED: 1/30/2017 Property Located at: 10 2 FIRST STREET UNIT#S601 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. rim t I I Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS 3 a BOARD OF HE'AI:I'H 120 WASHINGTON S'r[W.ET 4"'FLOOR TEI.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 NLA,YOR isc o7r(a�s:v.r-m.COSI JOANNE SCOTT, HEAL:rl-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." LFEE: $50.00 PROPERTY LOCATED A" 10 q 'U ,+ UNIT# IS THIS bNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE D OWNER/LESSER Petib)-OA- -Sa-Q-e"\- L -P MANAGER/AGENT Jin R-u SSe -k NO P.O.BOX ADDRESS Z t"l✓�l �'IY ,AAn ADDRESS CITY, STATE, ZIP Q (� l I" t/►`F�f01170 CITY, STATE,ZIP SX VV—t RESIDENCE PHONE * `4c-q&W BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1'n ROOM USE: 1. VA 2. l 3. 4. ��Yv1ti 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 / Inspectors use only Date on initial inspection: . I�/,�- Date of reinspection: Date of issuance of certificate:1Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: z�I�e ,\arne PanuotHighlands Site Date RecedKI_%-q b Purchase aSE O Order# Batch* Code Enforcement Inspector I' I � GL Amount to be Paid Z�jZ� Approved By j s CON City of Salem, Massachusetts1P Board of Health 120 Washington Street, 4th Floor, Salem, PMA 01970 Prevent. Promote HeProtect ltli 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-17-24 DATE ISSUED: 1/30/2017 Property Located at: (�)12 FIRST STREET UNIT#5602 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7454884 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 SALEM, MASSACHUSETTS �a BOARD HEALTH 120 WASHINGTON SrREI�,r 4°'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR )srcr T(as,v.rac 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." yF.E,E::,$50..000 S"1 1 e PROPERTY LOCATED AT ` U V �'I -e, UNIT#��� IS THIS LNIT DISIGNA.T/E�DA,S.RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE � OWNER/LESSER �t°C�IJ UT- C LP MANAGER/AGENT , ,U�n I` SS fAf` NO P.O.BOX ' ADDRESS I Z �__V nnnn ,,.. �1Y t�,t p, ADDRESS l X Id/�.Q CITY, STATE,ZIP �G �i>M V"��p Q( l� 6 CITY, STATE,ZIP /� AA/� RESIDENCE PHONE`1 IR—1 \� —( 1 � BUSINESS PHONE(24HRS) BUSINESS PHONF �/f� TOTAL NUMBER OF ROOMS: 1 I� p ROOM USE: 1. 'Lt " 2. 3. �'Jf-w` 4. V7rW.A 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 cenificate: I �D I I Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: bltc Name Date Receiveci "` 1 Purchase Order# —T��_ C ((/ —�II Batch* Code Enforcement Inspector GL Code Amount to be Paid �D 2N U Approved By L J � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 41O FLOOR PublicHealth TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL tramdinnasalem.com - Le\121tY R,\nIU1N,RS/RV.I IS,CIiO,CP-FS MAYOR HFAI:17i AGENT CERTIFICATE OF FITNESS CERTIFICATE# 177-13 DATE ISSUED: 5/23/2013 Property Located at: 10 First Street UNIT#S-603 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. ^F47=H / LARRY RAMDIN HEALTH AGENT SANITARIAN v CITY OF SALEM NiliSSACI-IUSETTS I3o:lRD O?'Hf;;ll:tFi = 120\''.NSHINGFON S"I1tI'XT 4"1 F1,00R 'I E,f_ (978)741-1800 KlArBERLEY D RISCOLI. F.A� ;(978)745-0343 MAYOR iSFOTrr)sm F.m.CONt T0ANNE SCOTF, HEAI:l H 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 FN/. 1 FELE: $50.010,, �1 PROPERTY LOCATED AT !V t sT �CtIcYIt Ott— �j`IT(f U�TT; I THIS UNIT[DI[SIGNATED AS RIGHT LEFT FRONT OR A6, '.I:,PLEASE CIRCLE ONE 1 OWNER/LESSER �t6vo� f l Qil�GnCCf MANAGER!AGENT PeOY6� ( PJ Ickvir NO P.O.BOX1 " \\ F1} �F v ADDRESS IlS t s ADDRESS �of � ik"s S CITY, STATE.ZIP FYtr /4+ 01979 _ CITY, STATE,ZIP SA le0l t44 01 70 RESIDENCE PHONE BUSINESS PHONE;(24HRS) BUSINESS PHONF TOTAL,NUMBER OF ROOMS: ')/� 11 I'kC4pp ROOM USE: �Kr �A 7. � 8. �r�1 9, 4�Q�YC9awt 1 O THERE IS A FIFTY($50)DOLLAR FEL-',PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYA LEA THE TIME OF INSPECTION {- z APPLICANT'S SIGNATURE DATE J G(J -� J f` r Insoectors use only 5 Date on initial inspection: 13,3//3 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check 4 JAZQ_76 Check date: Notes: A. Coe Ndot7fient Inspector CITY OF SAIEM, MASS AC;HUSI 'I`I'S &7ARi7 C)F FEIiTH 120 WASHINGTON SI':tFS1i.T,4"'FLOOR r.PUbIrCmHCalth Tri. (978) 741-1800 F,,,x (978)745-0343 KIMBERLEY DIUSCOI.L tramdin(a�salr_m.com LARRY lt!\bIDIN,Rti f RIiJ IS,CI I(t,CP-t9 NL,Nym 14i't.t xiiFlc;t4N'T CERTIFICATE OF FITNESS CERTIFICATE #160-13 DATE ISSUED: 4/29/2013 Property Located at: 10 First Street UNIT#S-605 Owner/Agent: Pequot Highlands Address: 12 First Street Cityrrown: 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 und, apartment or tenement. An inspection of your vacant DwellinglRooming Unit at the above adc ress 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%4th 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARRY RAMDIN HEALTH AGENT SANITARIAN Cl'1Y OF SALEM, _%LDSSACHUSETTS Bo,�ItDoiHF.uxii 120NVASIUNGTON 4T"FLooR Tr,i_ (9781741-1800 KIN,IBLRLLY DP_TSCOLL FAX (978)745-0343 NTAYOR ismi-Mas\i.Fm COM _10-kNINE SCOTT', HEAUITIAGENT 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 SCALVh, 1444- 01970 - -UNIT# IS THIS I INIT D((ISIIjGN TIED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT �ecfflal NO P 0.BOX ADDRESS ADDRESS CITY, STATE,ZIP �A leiA 1W OIK6 CITY, STATE, ZIP 4W AM 015-/0 RESIDENCE,PHONE BUSINESS PHONE(24FIRS) BUSINESSPHONE q7�--7qS- '4*4 TOTAL NUMBER OF ROOMS: 7 ROOM USE: I.WkA 2. pa 6.gelftt 7. dn 8. 9, 10. THERE IS A FIFTY($50) DOLLAR FEE,PAYABLE BY CIIECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTFI THIS FEE IS PA.YABI,E AT FIE TIME OF INSPECTION 13 APPLICANT'S SIGNATURE get DATE - InsDectors use onlv Date on initial inspection: 4,1Z q 1 13 Date of reinspection: Date of issuance of certificate: Date'cc paid: Type of unit: Dwelhn.gOher Check 9 Check date: -Notes: CpA�Ge Ment Inspector TRANSMISSION VERIFICATION REPORT TIME 05/16/2013 22: 08 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 05/16 22:07 FAX NO. /NAME 919787458166 DURATIOPAGE(S)'� 0: 00: 17 RESULT Off; MODE STANDARD ECM City of Salem, Massachusetts n Board of Health 120 Washington Street, 4th Floor, Salem, P 1111 MA 01970 venL 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-17-50 DATE ISSUED: 3/2/2017 Property Located at: 112 FIRST STREET UNIT#5606 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. HEALTH AGENT SANITARIAN Larry Ramdin, MPH, REHS, CHO y CITY OF SALEM, MASSACHUSETTS Pais BOARD OI:HI;AM H 120%X'ASHINGTON S'lRIS1;C 4"Fl.00R TEI-.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 NLA,YOR iscoTTPa`s,v rad.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: $50.00 / /- PROPERTY LOCATED AT V Fl.�k S 1 I � - UNIT#E'W CJ (� IS THIS l7MT DCISI.GNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE ' / OWNER/LESSER -CU'LU+ — �GL�FNM L I MANAGER/AGENT NO P.O.BOX ()CpJ/1 K(l SS ec� ADDRESSeI rt,a ADDRESS . - CITY, STATE,ZIP S(( /ill i y t'` � `'l [ U CITY, STATE,ZIP�LC(/��/� - RESIDENCE PHONE—&IWI BUSINESS PHONE(24HRS) R 1 b ILS L49�M BUSINESS PHONE J TOTAL NUMBER OF ROOMS: 1100 ,, ,, II ROOM USE: 1. 9 AJ- 2. L V2, 3. &,AAK 4. K/1' ( Ll 5. ka(VIA 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: �II I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling—Other Check# Check date: Notes: �yY�Zy Q p F PQdi f-- M Low LP Name � �l. i�eCcNEd Code forcement nspector PL xnasE Order# 4 �iL C GJe .ppioved By P2,d tel) tipu.c.ed By _J, z - 1 c • e CITY OF SALEM, MASSACHUSETTS BOARD OF HE.-ILTH 120 WASHINGTON STREET 4"t FLOOR PublicHealth e Prevent.Promote Protect TEL. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOLL lramdin(a)..salem.com LARRY R.vnloiN,itS/REHs,trio,cr-Fs MAYOR Hum;ri-i AGENT CERTIFICATE OF FITNESS CERTIFICATE#459-14 DATE ISSUED: 12/1/2014 Property Located at: 10 First Street UNIT#S-607 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 Ile 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. Lam.. OR THE BO RD OF ALTH LARRY RAMDIN (- HEALTH AGENT SANITARIAN r CITY OF SALEM, MASSACHUSETTS BOARD of HEALTH I IIPublicIiealth (/I���) I 120 WASHINGTON STREET,4TM`FLOOR Prevent Promote"Preteel. TEL. (978) 741-1800 FAx(978)745-0343 KIlI4BERLEY DRISCOLL Iramdinnsalem.com MAYOR LA]tR1'xr\bnDIN,x5/KERS,CRO,Cl'-FS 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:: $500..00c , PROPERTY LOCATED AT ��1R� St e S•'P O / L VM y ��4 ©WOUNiT# S- � / IS THIS UNIT DISIG ANA 1TED AS RIGHT LEFT FRONT OR BACK PLEASE(CIRCLE ONE OWNER/LESSER 79IO , 1[' 6-AAS MANAGER/AGENT VOQ-1\ '��SSe NO P.O.BOX �� � 11 ADDRESS ZF; I��i,I'_,�1 AAA ^^ —7 ADDRESS SLLA—A Q CITY, STATE,ZIP --a 1CJ1'► 1 ,,I /t/V,T10 Iq /D CITY, STATE,ZIP sa.W�k RESIDENCE PHONE q 7 9' �` 5 ' y a04 BUSINESS PHONE (24HRS) rA-'L BUSINESS PHONE C—l� TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1. 2. 1/t— 3. l'_ (Z 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 TW7=-- I / APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: a�I �lH Date of reinspection: Date of issuance of certificate: Date fee paid: / ,/ Type of unit: Dwelling Other Check# y�)�S665Checkdate: ZL//;// Notes: Site Name Pequot Highlands Site# alai Date Received I Purchase Order# p1 Batch# Code nforf ent Inspector GL Code 62_ Amount to be Paid Approved By '0So CI'1"Y OF S11LT:M, M/1SS11CHlJSI�;I"I'S BOARD()v HES MIJ 10 120 W,\S1-1INGT0N STRI F 1' 4°1 FLOOR PU ,H�ft TH:1.. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL. Iram6ia)s-Acnl.coln 1e\IL1tl'Ri\MD1N,Rti/Rlil IS,CI l(>,CP-F` MAYOR f l I Ci\I:I'I I AG I SN I' CERTIFICATE:OF FITNESS CERTIFICATE#100-12 DATE ISSUED: 3/1412012 Property Located at: 10 First Street UNIT#S-608 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR T�HE/QOARD OF HEALTH LARRY RAMDIN HEALTH AGENT CFE ENFORMOAEAT INSPECTOR CITY OF SALEM NL-�SSACHtiSETTS Bo:�Iu)of HEALTH 120 WASHINGTON S'HtF.t r 4'N Fl,om Tt.t.. (978) 741-1800 KIMBERLEY DRISCOLL F�X (978)743-0343 N1-kYOR SmTT(Ws\r ear.CO-,\f o-\NNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION:' FEE: $50.00 PROPERTY LOCATED AT I /) 1 I✓ P/� �C��A C �y INITk IS THIS UNIT DISIGNATED/AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE / OWNER/LESSER��,)l MANAGER/AGENT NO P.0 BOX _ I- ADDRESS /� Ll ,�Yt617 ADDRESS CITY, STATE, ZIP �G�FtN( MA d l�—IV CITY, STATE,ZIP RESIDENCE PHONE �y�/� Cy BUSINESS PHONE(24HRS) BUSINESS PHONE ' 1 adO-' `�b/U f TOTAL NUMBER OF ROOMS: 'S ROOM USE: 1k441 2. L ✓l 0-21M. ,G44rIr M 4.��06- Y11 5.&r7iL7M 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 TH E IS PAYA E AT THE TIME OF INSPECTION c APPLICANT'S SIGNATURE Q/e d�AE DATE Inso_ ectors use only Date on initial inspection: a I II F Ila Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check g 9 S 47-1*4Check date: �/a Notes: Co rcement Inspector OF City of Salem, Massachusetts 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 Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-414 DATE ISSUED: 12/11/2015 Property Located at: 10 FIRST STREET UNIT#S-611 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, Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN 10, ! CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH 120 WASHINGTON STREET,4m FLOORPublicHeaith Prevent.Pramma Protect TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL lramdinO.salem.com L MAYOR tVtRl'lt<\IRIDIN,ILS/RENS,CHO,CP-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" T FEE: $50.00 _ ' ^ PROPERTY LOCATED AT T 1 �� , /V V 1 016)7(D UNIT# S40 IS THIS UNIT DISIG1NATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER lA Y�,C�hdS MANAGER/AGENT 30a(\ NO P.O. BOX u ' 1 ADDRESS ` � _ ��st' S1 ADDRESS S .l—A CITY, STATE,ZIP WeW , AAA 0101 70 CITY, STATE,ZIP Sa.W�A 7 / 1 c9D RESIDENCE PHONE CI—1 g' 7 4S ' 4A L4 BUSINESS PHONE(24HRS) Sa m BUSINESS PHONE C--a� TOTAL NUMBER OF ROOMS: �nl (� 1 f) ROOMUSE: 1. 1 2. LXX 3. V�1 4. v5. 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 7LE AT THE JE OF INSPECTION APPLICANT'S SIGNATURE I/n /' DATE q Inspectors use only Date on initial inspection: 11/30/2.©1.5- Date of reinspection: Date of issuance of certificate: 11./30/2015 Date fee paid:12/07/201S" Type of unit: Dwelling---\e/ Other Check#91211623 Check date:. 12107/115' Notes: K;f CLn �,i in Mined, wo,+e r 5� -7e-/ES-� Site Name Pequot Highlands Site# 0137, Date Received Q / Purchase Order# Batch 9 Co ement 4idrector GL Code AP-7-9 O Amount to be Paid Approved By E v CITY OF SALEM, MASSACHUSETTS 1�V1/1 BOARD OF HE.-ILTH 120 WASHINGTON STREET 41°FLOOR PI1b1iCHC8"I > Prevent Promote Protect. TEL. (978) 741-1800 FAX(978) 745-0343 IQMBERLEY DRISCOLL kamdin(a)salem.com LAltltl'R;\MUIN,12S/REI-1S,<a 10,CP-115 MAYOR HeAL rl i AGENT CERTIFICATE OF FITNESS CERTIFICATE#358-13 DATE ISSUED: 9/27/2013 Property Located at: 10 First Street UNIT#S-612 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 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. ^ 4;"HEA LTH L•M. LARRY RAMDIN HEALTH AGENT SANIT7�TUAN CITY OF SALEM,1t3ASSACHUSE'ITS BOARD OF HEALTH PublicHealth ✓ 120 WASHINGTON STREET,4n.FLOOR r�r�oc rram.sa. TFL. (978)741-1800 FAX(978)745-0343 KIMBERLEYDRISCOLL lramdin(&salem.com MAYOR LARRY IteIMllIN,RS/RENS,CHO,CP-CS HEALTH AGENv"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 O Fi fS� 5 r VJ . SOL/MY1 IM a970 UNIT#S''6 2-- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT ORS PLEASE CHICLE ONE OWNER/LESSER Pea,���ax kjaAA MANAGERtAGENT NO P.O.BOX ADDRESS t 2F �1, C� ADDRESS CITY,STATE,ZIP S 0,�e t VYl 0 t I O CITY,STATE,ZIP O RESIDENCE PHONE BUSINESS PHONE(24HRS1 BUSINESS PHONE Site Name Pequoi Highlands Site# 0137 TOTAL NUMBER OF ROOMS: Date Received Purchase Order# ROOM USE: 1. 2. 3, 4. 9 Batch# - 7 6. 7. R. 9. ]0. vuCoae (pm0 —&AA��rr��iount to be PaidCITY OF TMW IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDEK TO dTI6IvE CITY OF BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE. kwiktag 108251299 _ Insneotors use only Date on initial inspection: . a/'*,I I(,rA--3 Date of reinspection: I I I I I ! V Date of issuance of certificate: p / Date fee paid: Type of unit: Dwelling_ Other Check# Check date: J/J'� Notes: Cod E ent Inspector CITY OF SALEM, MASSACHUSETTS B().1RD or HE:II,TH 120 WASHINGTON STREET,4 `FLOOR Pl1b�IC HP Itth TEL. (978) 741-1800 FA-x(978) 745-0343 KIMBERLEY DRISCOLL tramdin nsalem.com - L,VtRY ii.\uuiN,Rs/iu;Hs,ci 10,r:r-rs MAYOR Hi,,\i:Ci i Ac;i?N1' CERTIFICATE OF FITNESS CERTIFICATE #332-12 DATE ISSUED: 8/17/2012 Property Located at: 10 First Street UNIT#S-613 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 J 1 7 : LARRY RAMDIN HEALTH AGENT r` . SANITARIAN c� CITE' OF SALENI, MASSACHUSETTS / �_ «o BOA\RD O"r HFALTH 120WASHING roN STRFiE"I,4` FLoox TFi- (978)741-1800 KIMBERLEY DRISCOLL F\�(978)745-0343 NLkYOR N oT rOs aLEM.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT in F i re-F MA n IQ-7 h UNIT4 S 0913 r IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Pe. I1t71— F��hlnrulC MANAGER/AGENT Pe(111h4 F hr�l�larv4 n NO P.O.Box ' ADDRESS 12 ADDRESS 12 1--1YS4 51yree4— CITY, STATE, ZIP Sel IP m MA D 1Q—I t� CITY, STATE, ZIP -�i 1 P ry-) M A min n RESIDENCE PHONE BUSINESS PHONE (24HRS) (q-19 )14-5 - 4RRt1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: f3 ROOM USE: 1.k r1ehP n 2. 1\V InQtmm 3. Fla FhCtx m 4. 6.h6ra, 7. hwim-'m-n 8AininTrxfn9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 1 1 O DATE S 1119 J IZ Inspectors use only Date on initial inspection: ( . Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwellins Other Check 9 Check date: Notes: Co tpector CITY OF SAL E7M. NLASSACHUSB'ITS a BOARD c)F HEA1:111 120\X/.\SHING'YUN STRFSE'1'.4... PI c x )R F?Y 1:1MIit;R1, llR18t;t)1.L (478)741-1806 MAYOR I J;AX (478) 745-1)343 Iramch n(d).s alem,com L\RRY iL.WIDIN,RS/REI IS,t:I1 0,Cir-15 111?,U:111 AGI,N'I' CERTIFICATE OF FITNESS CERTIFICATE#542-11 DATE ISSUED: 12/29/2011 Property Located at: 10 First Street UNIT#S-614 Owner/Agent: Pequot Highlands Address: 12 First Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH RR tv O � EALTH AGENT O� ENFORC T INSPECTOR CITY OF SALEM, 1 LksSACHUSETTS �� 1 Bo.aRo OF Hr.•,AL rFI V of 120WASHING COV $"IRf'.F`i',41�FLOOR TFj- (978) 741-1800 KI\IBERLEY DRISCOLL F�x(978) 745-0343 1'IdYOR ismTT( gem rm CO\I 10 1NNE SCOTT, 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." I �y FEE: $50..00 /I ��� 7� PROPERTY LOCATED AT 1�i �tS 1` C�rfl"2P� )a�,MIA ll7 U UNIT# IS THIS UNIT DISIGNAATED AS RIGHT LEFT FRONT O A BACK,PLEASE CIRCLE ONE OWNERLESSERa-GIIal2dS MANAGER/AGENT luffiG'SSG1 1 l � NO P.O.BOX �I - ADDRESS � ADDRESS CITY, STATE, ZIP A Y f�II / MA- D Ig7U CITY. STATE,ZIP �/ �j// p v zl RESIDENCE PHONE C // �/ BUSINESS PHONE(2=4HRS)�r d � f Z 0 0 BUSNESS PHONE qy�-211 5�/- T � TOTAL NUMBER OF ROOMS: ! - ROOM USE: 1.6VTGIWYI 2. r/71M 3.G V)Vi rVFM 4.12 /�I-9q �drODY4 6.l�ix�i UDn't 7. APrj�afi S. v 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 AYABLTIMEnnOF INSPECTION APPLICANT'S SIGNATURE \ v �cF vZv#� DATE Insoectors u4 only Date on initial inspection: (al h°l A( Date of reinspection: I ate fee aid: 1j-1,0A Date of issuance of certificate: ���� P Type of unit: Dwelling Other Check# heck date: a,L, ) Notes: t Co e E rc m nt Inspector City of Salem, Massachusetts Board of Health �y,����� 120 Washington Street, 4th Floor, Salem, Prevent. Promote Hlth 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-17-25 DATE ISSUED: 1/30/2017 Property Located at: @0-12 FIRST STREET UNIT#S616 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 J 3 CITY OF SALEM MASSACHUSETTS ;\ �a BOA u)oi�HEALTH 120 WASHINGTON SrxEn trr,4 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 1\/[AYOR iscnrr(a�sw.rxr 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." /� lF�E�E,:,$$5-0.00 R PROPERTY LOCATED AT o � UNIT# (0 IS THIS U IT DICSIG,N/A�TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE ,, • ,, / 0 OWNER/LESSER `e 01 S"J" LP MANAGER/AGENT \,/9(-V1 QAA I NO P.O.BOX ADDRESS I .�I � � �a ADDRESS __ -� CITY, STATE,ZIP .Y VV* (J ( 970 U CITY, STATE,ZIP RESIDENCE PHONE l7i!c ���Lpp��`� %L BUSINESS PHONE(24HRS) \Lt BUSINESS PHONE PHONE TOTAL NUMBER OF ROOMS: ,,J ROOM USE: 1. 1� l 2. — 3. t YIAA 4.' JrIM 5. FIrIM-�, 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: /� /��-t Date of reinspection: Date of issuance of certificate: T Date fee paid: Type of unit: Dwelling—Other Check# Check date: Notes: h1 ,Name requoi mgnianas Site> moo" I5RS n Date Received I L—L b tb. Inspector II eL Purchase Order# 17--)qt Code Enforcement Ins p l S L: ac h GL Codc IDZG�U Amount to be Paid 15V — Approved By CITY OF SALEM, MASSACHUSETTS ... ; BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#613-06 DATE ISSUED: 12/20/2006 Property Located at: 12 First Street UNIT#S-114 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 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 ` - J� ( •J/GC HEALTH AGENT CODE ENFORCEMENT INSPECTOR Aug 07 06 02: 37p Joanne Scott Salem BOH 978 745 0343 p. l i CITY OF SALEM, MASSACHUSETTS I BOARD OF HEALTH IJ • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 976-741-1800 FAX 97B-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 '4 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT Id IFIY:`;� SCllf{Yn UNIT It ' bIq-ID IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERII-ESSER UD+ i}lghlonAS, MANAGER/AGENT \&MnRz SldcrrE1C-) No P.O.Box No P-0.Box ADDRESS-, ADDRESS_, CITY Q CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 1y5-`x-A BUSINESS PHON[ Z']US TOTAL NUMBER OF ROOMS: �D. fl00M USE: 1.bLdMID 2,� cY _3.1��4..�1y 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 PAYA81 F AT THE TIME OF INSPECTION. n APPLICANTS OIGNATL'RC Q �.Q -ZL­11�—DATE �ws__ INSPECTORS U ES ONLY DATE OF INITIAL INSPECILO—N__.-21701 . DATE OF REINSPECTION�✓� — DATE OF ISSUANCE OF CERTIFICATF__ _DATE FEE PAID' TYPE OF UNIT; DWELLING _.-LI`OTMERCHECK#, _LCHECK DATE, .._.__ .... NOTES:-- COKF--ENFORCFMENT INSPECTOR 9/2E?/98 CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KINMERLEY DRISCOLL Fax(978) 745-0343 MAYOR JMANCIN1(@SAI.EN1.00N1 JANUA'NIANCINI AC'1'1NG HGl!\1.1'1-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #591-08 DATE ISSUED: 11/13/2008 Property Located at: 12 First Street UNIT#S-204 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 BOA F HEALTH NE MANCINI 6-/-," 1a.�k` -W,41-wY ACTING HEALTH AGENT C205 ENFORCeMEiVT INSPECTOR CITY OF SALEM, MASSACHUSETTS • ` BOARD oir HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMIiERLFY DRISCOLL FAX(978)745-0343 MAYOR »»ONNitCvs,va>. t.co�i JANYti 'DR>NNL ACrING HE'AlmiAG'ENT Facsimile Transmittal To: lam, /Jo� t J�w-6txd._5 Fax# 5T)<K- 0 4.") '!R-/ (0 RE: /& T:-) rte, 4 44, Date : la l �/11�� Page(s): including this cover# Message: Board of Health News ------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Joanne Scott Salem BOH 978 745 0343 Dec 04 2008 1:54pm LAst Fax D= Tiffin I= Identification Durat14II EW Rmh Dec 4 1:53pm Sent 919787458166 0:36 2 OK Result: OK - black and white fax A_ • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978)741-1800 KINIBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNr(0). im r.m.cou JANI.s I'DIONNF AcrING HRAL:1'I I AGUNT CERTIFICATE OF FITNESS CERTIFICATE#449-08 DATE ISSUED: 9/9/2008 Property Located at: 12 First Street UNIT#S-205 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 +JAT10 E /CODACTING HEALTH AGENT INSPECTOR �r CITY OF SALEM, N A sSACHUSETTS � o BOARD OI�Hli'AIA'H 120 WASHING t'oN Sltzr;r:I 4"'FI,oOR Tttl.. (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 TvL1YOR isc carr s.v.r:n .COM JOANNE SCO17r, 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" FEE: $50.00 PROPERTY LOCATED AT \�—'vA 0OF)C�UNIT9 S-24!� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE (� OWNER/LESSER NO P.O.BOX �C�oMANAGER AGENT 'n ADDRESS ADDRESS CITY, STATE, ZIP� -\%2. V\lva, CITY, STATE, ZIP RESIDENCE PHONE \\'�-4 ' A BUSINESS PHONE(24HRS)( BUSINESS PHONL __)(�', U- 1�—moi TOTAL NUMBER OF ROOMS: l ROOM USE: IQ, w�QeF,rrxw 3.�se�rc>ra 4.t��4Mr�w�4.`�2�l. oc✓r 6. NC_N<_k �7 b ,,� „ ;. 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 INSPECTIO APPLICANT'S SIGNATURE 9— P � DATE �C�— n n Inspectors use only Date on initial inspection: 7 " I Q Date of reinspection: Date of issuance of certificate: C3 , n7 ' Date fee paid: ^ nl • 0 c� Type of unit: Dwelling, C/' Other Check# 1 Z2j Check date: `1 •OF^ Notes: _ nib i Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRV14NBAUMnn SA1.rM.COM DAVID GREENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #656-09 DATE ISSUED: 12/30/2009 Property Located at: 12 First Street UNIT#S-301 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 /JoivA DAVID GREENBAUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR CI1Y OF SALEM, NIASSACHL'SETTS � i 1 (e. BOARD OF IIL!ALI'II 120 WASUINCTON S'1'1ti;i:,1' 4'°FLOM 'I'm- (978)741 1800 KIMBLMLPY DRISCOLL F'.\x(978)745-0343 MAYOR ISCMTO)NALR1111.COM J0b1NNE SCOTT, H i7.riL'1't i At11 iN'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 r PROPERTY LOCATED AT /0 -:qi evA S,�J e YY> HA UNIT#S-3�� IS THIS UNI1T,DISIGNA+TED AS RIGHT L 'FT FRONT OR BACK,PLEASE CIRCLE ONE t OWNER/LESSER�PY', 17<)A N r �i In ✓1 J MANAGER/AGENT?—Ar, r- \f.�l )'1''�i P_ NO P.O.BOX I ADDRESS / �I f Ste^ {l T( p ADDRESS /J Ifs CITY,STATE,ZIP �\e ff1 6"' A CITY, STATE,ZIP KD //-) RESIDENCE PHONE k_)'A BUSINESSPHONE(24HRS)_9 BUSINESS PHONE O1'-S - 17(I!L'� fLlriS�6�� TOTAL NUMBER OF ROOMS: 7 `1 ROOM USE: I.�+�{ y12. (,ivina 3.�c,��Y1 4. r\i�C)r-" t`15. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO TI IE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THF,TIME OF ' CTION APPLICANT'S SIGNATURE_ DATE—L��q i Inspectors use only Date on initial inspection: P/,3 Ole ri Date of reinspection: I Date of issuance of certificate: 1 ra t ?lf/01 I Date fee paid: /"� 1310�G q Type of unit: Dwelling_�Other Check# q WYgS 7 Check date: o l t 1 /d 9 Notes: Code E ` ldt r 1 m S CITY OF SA1.17M, MASSACHUSI"TfS BOARD OF HFALTH 120 WASHINGTON STREET 4°f FLOOR pllbilCHP. Ith > PR,Cn, Pn mmc PmlrII TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERL EY DRISCOLL kamdinnsalem.com - LARRY 1L\AiUIN,RS/REI IS,CI JO,CP-PS MAYOR H F:AI:PI1 Ac;FN"r CERTIFICATE OF FITNESS CERTIFICATE# 162-12 DATE ISSUED: 4/25/2012 Property Located at: 12 First Street UNIT#S-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 OF HEALTH LARR AMDIN 4 HEALTH AGENT SANITARIAN R. 't CITY OF SALEM, MASSACHUSETTS BOARD OF'HEALTH 120\NASFtt\c'roN S'rFU:F"l' 4`"FLOOR Tr:t . (978) 741-1800 KLNIBERLEY DRISCOLL FAX(978) 745-0343 ,\,'L,�YOR iscorrra1snt.Fm COAI JOANNE SCOTT, HFALTH AciFNT Q r Application for Certificate of Fitness IN A CORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." L ( FEE: $50.00 PROPERTY LOCATED AT I D �l�S'I Jul '! `�/I R�/�r1 i I Z/� , f"/I UNIT9LL16 'I-AS-THIS UNIT DISSIGYATED AS RIGHT LEFT FRONT OR BACI:,PLEASE CIRCLE ONE R/ / - OWNELESSER 1"-al�/�� l/ �lC{ICF S MANAGER AGENT NO P.O.BOY r �y ADDRESS /,�- �r �ST 1,tTGE� ADDRESS CITY, STATE, ZIP ��ali72 , CITY; STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS)_1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: l� ROOM USE: . -- T brn 6.J&lhrzrA� 7.%-h AtV)78. 9. 10. THERE IS A FIFTY($50)1DOLLAR FEE;P kYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS Fp PAYABLErAT THE TIME O_E SPECTION APPLICANT'S SIGNATURE ( � DATE [P / Inspectors use only Date on initial inspection:--q���5 f Date of reinspection: Date of issuance of certificate: Date fee paid: r� Type of unit: Dwelling, Other Check oc��Check date: Notes: CcrcemActor h CITY OF SALEM, A SSACHUSE I"FS 10 BOARD OF HEALTH 120 WASHINUMN STREET 4"' FLOOR PublicHl'a[th TEL. (978) 741-1800 F.\N(978) 745-0343 KIMBERLEY DRISCOLL U amdin(a�.salem.com MAYOR L.�ttttr 2,�ntnm,as/ar.i ts,clrc�,(:r-rs Hj;.m a't I AGI-XI, CERTIFICATE OF FITNESS CERTIFICATE #311-12 DATE ISSUED: 7/31/2012 Property Located at: 12 First Street UNIT#S-311 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 LARRY RAMDIN HEALTH AGENT SAS 1AN .,✓ 1 ��� 3 r ,� 9 CITY OF SALEM, MASSACHUSETTS 'a BOV I; OF 120��'.jSHI\G'1'ON STRI.E,C,,4T"FLOOR TEI,. (978)741-1800 I II�IBERLEY DRISCOLL FAX (978)745-0343 -IMAYOR ISCOTT06\LF.M.COM JOANNE SCOTT, HE.ILTII Air F.\T Application for Certificate of Fitness N ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." / FLEE: $50.00 // A PROPERTY LOCATED AT /� f 1 l��SY�Ge `� ��C✓I/7 /�a � l l' UNiT# ,L3// IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE / OWNER/LESSER Z r fR�Cl� MANAGER/AGENT I `Cl.�l/5 A/ V"'l-A14�fCI,i NO PO.BOX //�� ADDRESS /,} - I�yI�S� ADDRESS �1 CITY, STATE, ZIP /i I q-�Z� CITY. STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRSl BUSINESS PHONE TOTAL NUMBER OF ROOMS: f' ROOM USE: 1.L/'1i)?,1�1''rFf r12. 4rjam 3.&� 4.,i�fc 7r17)n 5. 6. ���rM,-M7. /a- 444A 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 "FEE PAYA AT THE TI F INSPECTION APPLICANT'S SIGNATURE e�� 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#- L� [L�[�LJro Check date: Notes: /� B Codn nspector CITY OF SALEM, MASSACHUSETTS o e BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #334-07 DATE ISSUED: 7/26/2007 Property Located at: 12 First Street UNIT#S-318 Owner/Agent: Pequot Highlands/Winn Residential 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR L _ � i WumResiden ial i I Pequot Highlands Telephone 978.74.5.4884 Facsimile 978.74..5 8I66-k— Web imuw.winmco.com 12 First Street,Salem,Massachusetts 01970 I 7 « ' 1' sa.MfR vilr•..tr�i [.gfYi�� 7n � U .eo . ,,rrz,.dHfl i 4: Ci7Y OF SALEM, MASSACHUSETTS �. BOARD OR HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA o1970 TEL. 976-741-1600 FAX 976-745-0343 JOANNE Sco-n, 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 _ta_Fy}�$}` ty }y_ slam •�rt�._—__UNIT 4S731% IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERlLESSER-Pto11v±_k}qh1CMY MANAGER/AGENT-1 13 No P.O. Bax No P.O.Box ADDRESS G� F trl - ,Rtrea-F --ADDRESS CITY-S0A( -—MA—DSq-LQ CITY--- -- — -- RESIDENCE PHONE—_-_—_ _ _ BUSINESS PHONE (24 HRS )(gjZ))q$-, \\ BUSINESS PHONE TOTAL NUMBER OF ROOMS: is I )- ROOM USE: 1 .bfdlf m_ 2�d -3 bd ..4 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 .-U(71 1 O -----DATE I(`JSPECTORS USE ONLY 1 Q.?IOF INIT IAL i11SPECT'IO,N„_7' 6 g5 , DATE CF REINSPECTION DATE OF ISSUANCE OF CERTIIFICATE7!y Z�'� DATE F�Ei-PAID - 7 TYPE OF UNIT DWELLIN�OTHFR - CHECK I+ C�i.a T ' F' T CK DA, E NOTES CODE ENFORCEMENT INSPECT OH 4/2wgI3 i I CITY OF SALEM, IVIASSACHUSEITS BOARD OF HF:ALT14 120 WASHINGTON STRt:ET,4°i FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOU F,Ax(978)745-0343 NtkYORaO NNI nr.rnl.cont J,LNI rDIUNNE ACTING HEA],CH AGENT CERTIFICATE OF FITNESS CERTIFICATE#599-08 DATE ISSUED: 11/25/2008 Property Located at: 12 First Street UNIT#S-503 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. FNEONNE BOAR O HEALTH J ACTING HEALTH AGENT C E E FO CEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS ' le 8 BOAlm or FljI'Ai:rr i 120WAsT INK,ivNS' RFI.:t,4"FLOOR 17;1_ (978) 741-1$00 IQMBE.RLEY DRISCOLL FAS (978)745-0343 Iv1A YOit 4c s rrr(a.i I' .iNf.CC)M JOANNk SCOTF, HI:ALT]I A(;rN'T Application for Certificate of Fitness IN ACCORDANC17 WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN I IABITATION." FRE: $50.00 HAA PROPERTY LOCATED AT Y) � rS1 14(-&� `YJpv- I A UNIT#-d` CJ � ^� IS THIS UNIT DISIGSNATEDIAS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE c O OWNER/LESSER x3C` MANAGER/AGENT � Qnf.� Y� P \ l _A'4j_ _ ADDRESS \-,)- r �`` ��1TPot ADDRESS )/f7 CITY, STATE,ZIP �- 1P w-n i 1� nigl")n CI'T'Y, STATE,ZIP / IX_),�" RESIDENCE PHONE j� BUSINESS PHOINrE(24HRS)(W r�i) '7U - 6At 'RLt/ BUSINESS PHONE i TOTAL NUMBER OF ROOMS: `7 ROOM USE: 1. VAP 4p N1 2. iUfe,x Yvn3 _��r xs n 4 r�r Nrrn 5.1��JrUCIrr7 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 TIMME�OF SPECTION �/ APPLICANT'S SIGNATURE. Pyr rL/✓l .P I alk-D DATE ����?0/r72S Inspectors use only Date on initial inspection: 1/, 2.3-0 $ Date of reinspection: Date of issuance of certificate: 11- 2� <T V Date fee paid: )6 2J '4r Type of unit: Dwelling_i/Other Check # 12-\h, Check date: ll, 7 �'C3 r Notes: �4w I -/' Code Enforcement Inspector � 1 ' y ` CITY OF SALEM, MASSACHUSETTS BOARD of HLALTH 120 WASHINGTON S'rREEr,4"'Fl.,()()R TEL. (978) 741-1800 I:IMI3ERLLY DRISCOLL FAX(978) 745-0343 MAYOR lramdin0galem.com L,UM)'RANH)IN, RS/RHI IS,(:I 10,(T-FS H HAl,rl l AGI{N'1' !`CDTIC I!`QTF AF RITNCCC CERTIFICATE#188-11 DATE ISSUED: 6/17/2011 Property Located at: 12 First Street UNIT#S-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 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 I- - dA,,-- LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR r 1, CFJY OF SALEM, NIASSACf fUSETTS Crt-11 r (978) 7411800 ht Il3P;IZLl';1'DIUSCOLL F4\ (978) 74-5-0-)4' 'Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 4 i 0.000 "MINIMUM S'T'ANDARDS OF FITNESS FOR HUMAN IJABITATION." FFE: $50.00 PROPER'L'Y LOCATED AT /� / / `ST X77/ C�7 t�aI6P 71 M� 11NITtt G IS THIS UNIT P/ISIG/NfATF,D A�S, RIGHT LEFT FRONT OR BACK,PLEA�SLL CIRCLE ONE / t OWNER/LESSER��dC,)T ?l1a(;11�v]OA. MANAGER/AGENT lY �lICSC AllJ nc/A NO P.O.BON V ADDRESS 2n ADDRESS CITY, STATE,ZIP,SG �G�?1 . �l/�� �l l_G/ / L_ CITY, STATE. ZIP RESIDENCE PHONEBUSINESS P.IONE(24HRS) S7 BUSINESS PHONE 1 7 b T t 7 �U 'TOTAL NUMBER OF�,ROOMS: ROOM USE: l.K/7[ t �yi 2. Z+V I�9�Ji'Llpyrl3. cu a�r�/ 4. P1�1YvJ5. 6. 7. 8, 9. 10. "THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO T1 IE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT 'HE TIMI' OF INSPECTION APPLICANT'S SIGNATURE 0 4Lc z DATE �. �ZS 1 JJ Insoactors use onlv call-71 ----- Date or. initial insaectian: �f Date of reinspection: I Date of issuance of certificate: �/1-7 !J l Date fee paid: / 11 Type of unit: Dwelling Other_^_—Check 4_1 5mz&Check date: �N Notes: Code 'nfoce ent Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF REALT11 120 WASHINGTON STRLET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR uxONN11011SALA;N.COM JANL, 'DIONNF. ACTING HHAI.IN AGI3N'f CERTIFICATE OF FITNESS CERTIFICATE#450-08 DATE ISSUED: 9/9/2008 Property Located at: 12 First Street UNIT#S-517 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 BOA F HEALTH J E DIONNE ACTING HEALTH AGENT CODE ENFORCEMENNbWECTOR C�: �s , CITY OF SALEM, MASSACHUSETTS n= BOARD or HeAt:rt-c Tta.. (978) 741-1800 KBIBERLEY DRISCOLL FAX (978) 745-0343 I\'LAYOR iscorrr s,m i-m.COM JOANNE-.SCOTT, Hr-._u Tt-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." FEE: $50.00 PROPERTY LOCATED AT Y('--) V\AJ-, 6\,S'1 U UNIT# C SIS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR)SACK,PLEASE CIRCLE ONE OWNER/LESSER �"uA,,k, MANAGER/AGENT R NO P.O.BOX l� ADDRESS ADDRESS Til �t4r CITY, STATE,ZIP < 1 V\ v A C) \`:C—)O CITY, STATE, ZIP �L \ RESIDENCE PHONE BUSINESS PHONE BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOMUSE: 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 JnSDeCtOrS use only Date on initial inspection: 'ni O Date of reinspection: Date of issuance of certificate: a� Date fee paid: 9 - I -d V Type of unit: Dwelling f Other Check# I L1 5 Check date: C l Notes: a�0\\",- Co e Enforcement Inspector CITY OF SALEM, MASSACHUSETTS r BOARD or I-II-�ALTH 120 WASHINGTON STREET,41 O FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1N1ANC1N1rnsAH-Nt.00%1 JANI;I'WNCINI AC17NG WAI, 1I A ;I?NT CERTIFICATE OF FITNESS CERTIFICATE # 192-09 DATE ISSUED: 4/23/2009 Property Located at: 12 First Street UNIT#S-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 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 rlv�JANET MANCINI ACTING HEALTH AGENT CODE ENFORCEMENT NSPECTOR ° CITY OF SALEM, A ASSACHUSETTS r« lio.litnoi Hr.�U:ni m� 120WASntNG]ONSrRirarr 4"'FiOoR 1'i:I7 . (978)741-1800 KIMBERLEY DRISCOLL 1+,\X (978) 745 0343 MAYOR Iscc n-r(a�,sci.r=.Nr.COM JOANNE.SCOTF, H i iAl:r'I t At Y.N1' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN IIABITATION." FEE: $50.00 n PROPERTY LOCATED AT f t r I ` T �TI"P� Sr, -`7 HA q')(l UNIT# 5-60'-1 IS THIS UNIT DiiISIG 1NA((TED AS RIGIIT LEFT FRONT OR BACK,PLEASE;CIRCLE ONE OWNER/I,ESSER�PCt A_>O� �l l'CG h 1r, n�J 5 MANAGER/AGI.,NT 7-S _n nf1P 7t 4l '(L NO P.O.BOX �,.. �j1 ` �} n ADDRESS 1� �;<c<l `�CC P_2� n� ADDRESS 1_11A CITY, STATE.,ZIP S`1 �PYYI J Hl S n\C{ CITY, STATE, ZIP A�/i� RESIDENCE PHONES�' \A )I� BUSINESS PHONE(24HRSarn� w'!- �J SSCP BUSINESS PHONEI_CJ�'q, 1 r TOTAL NUMBER OF ROOMS: 1 ROOMUSE: I.V)JC4tQn 2.&'V(17�S 5.A,3,elYo007 6. 7. 8. 9. 10. 'THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE;BY CHECK OR MONEY ORDER TO TI IF CITY OF SALEM BOARD OF HEALTH THIS FEF,IS PAYABLE AT THE TI 73PECTION APPLICANT'S SIGNATURE P v Z/17/{7 0DATE Insoectors use only Date on initial inspection: 4•2,4 ,:A Date of reinspection: Date of issuance of certificate: 4- 2.3' Zl� Date fee paid: Type of unit: Dwelling __� Other,-Check #9�LO�I 4S Checkdate: R-2.11-01 Notes: J Code Enforcement Inspector " ( CITY OF SALEM, MASSACHUSETTS _ BOARD OF HEALTH 120 WASHINGTON STREET,4°' FLOOR hIMBERLEY DRISCOLL TEL. (978) 741-1800 M 1YOR FAx(978) 745-0343 lramdina.sal mn.coin LARRY RANMIN,RS/RI9IS,(1110,(T-FS H13AUH I AGI{N'i £ERTIFlCATE-OF-FI SIE^"T & CERTIFICATE#181-11 DATE ISSUED: 6/10/2011 Property Located at: 12 First Street UNIT#S-610 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. FO THE HEALTH 11141- -14 LARRY RAMDIN HEALTH AGENT COVENFORCEWFAT INSPECTOR } . i CITY OF SALEM, MASSACHUSETTS , I v,uzi url-Iit:u;rn \mna l20NV\Si!INc'i„NF'I1cl;�tye tdm cx i; PequotHighlands fl::i. (97II)741MPJ� 0137 I I 413CRLEYDRISCO).1, Pn x (9'/8)'7al .- �1A1'OR srnrr(hs,v,r.n . �3iF ase Order# atc # GL Code w nn I.St;u IT, Amount to be Paid I 1 Is:tl:n I Ac]::NI' Approved Sy Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �^ FEF:: $50.00 PROPERTY LOCATED AT 72 t �� .�i3IErv1 . J��+ Q 16? UNITP tS�pJv IS THIS UNIT DISIGNATED AS RIGHT LCT RR<)NT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER l"CG OU - 97%hlGnds MANAGER/AGENT NO P.O.BOX �-I (✓ ADDRESS 1 2- rf ADDRESS — CITY, STATE,71P c.�c2l,Pivul! XIIA' CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1& -gvw 2,ZlaltaDh'r .3. l4'dig k4�( rapr t 5. t� G. 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 TH TIME OF INSPECTION j / APPLICANT'SSICiNATIJRE 7/ Ll ctLtl DATE TI IZt ll ( / Ins_oeetors use only Date on initial inspection: C!l of l I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling.,--Other-Check#.��Check date: 51.3/1 ti Notes: .� ocri Code� ement Inspector • CITY OF SALEM, MASSACHUSETTS Bo.\RD OF HF--ALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Dcttr;l;Nl;nunlnsnl,I:nccoaf DAVID GRFI NBAUNI ACTING HU:AIAI-f AGISN'r CERTIFICATE OF FITNESS CERTIFICATE#254-09 DATE ISSUED: 5/28/2009 Property p rty L ocated at: 10 First Street UNIT#S 611 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 14 DAVID GREENBAUM -A ACTING HEALTH AGENT CVENFORCffMtNT INSPECTOR g5q,61 CITY OF SALEM, MASSACHUSETTS 8 BOARD o1 HI,;;v; FI 120 WASFIING I'ON S'I'RI?I';I' 41°FLUOR TISI.. (978)741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR scc n•rris ,mm.COM JOANNE SC017, HI.ALI'I-I AG1iN'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." FEES: $50.00 a A c PROPERTY LOCATED AT /(7 ) I i S"I s�ce _—)^�'P vn 1 \fl C 71q�n UNIT# S- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE 1 L OWNER/LESSERF�P_0,04 tt'c'+`rl�r.00S MANAGER/AGENT �Or,j)ne- S, � I I e NO P.O.BOX 1� J L ADDRESS ID EIr.ST ADDRESS JUI r1 p ' r CITY, STATE,ZIPw VYlI-1 C�Iq�Jh CITY, STATE, ZIP RESIDENCE PHONF7 tV✓�1A ' r BUSINESS PHONE(24HRS) 1 BUSINESS PHONEQ /0 2 TOTAL NUMBER OF ROOMS: ` ROOM USE: 1 n�Vl(nm2.Y� k0�n 3. � 0)nC 4. ec�t onn1 5. ?)e Jreom 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 �iv/t`7/YLP � Ul.t7r;(�c_/ DATE Inso_ ectors use only Date on initial inspection: 51��IOq Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# �'I um Check date: Notes: Cod &brcement Inspector