FLETCHER WAY i
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120AS '"
W .HINGTON STREET 4 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR IDIONNl? SN,I?M COM
JANI P DIONNE
ACTING HEAI;II-I AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#604-08
DATE ISSUED: 11/18/2008
Property Located at: 1A Fletcher Way UNIT# 1A
Owner/Agent: Valeri Serebryakov
Address: 301 Rear Lafayette Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-815-8552
An inspection of your vacant 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.
FAR THE BO R OF HEALTH
o
T DIONNE
ACTING HEALTH AGENT CODE ENFORCEMENT I SPECTOR
` Nov 13 08 12: 03p Joanne Scott Salem BOH 878 745 0343
p. l
` CITY OF SALEM, NIASSACH USE"17S
BOARD OF Heat:ri t
120 WASHINGTON SIULT.4"FLOOR
Tto.. (973)741-1800
IQA93F,KI.I Y DRISCOI.L [�AX(f)"r8)745-0343
I'L�XOR COAL
,JANET DfONNB,
Ar.'riNr; Hr:Al:ruACFN'l'
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE. SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN IIABITATION."
EF 'E: $St OO
PROPERTYLOCATED AT 1INI'I'#
lti THIS UNI\T�nIS�I�C,,N/ATtiO AS R14NT LIFT FROry 'OR BACK,PLEAtit�.CII CLE ONE
OWN UU'LESSI��Rjj �^f�' _CM 41._C/ �L�LIL_14.4NAGL''R/AGI,:NI rn �!ie/t5
ADDRESS
,CITY.STAT17 Gil' z7 yL �P�d I f�
RESIDENCE PHONE .. ,,_$USINESS PHONE(241 IRS) q
BUSINESS PHONE—VY
TOTAL,NUMBER OF ROOMS:.
ROOMUSF: I. ��l ` 7� 3.. .... 4 r_ i 1_ /C '
. . 7 . 8 9. 10
THERE IS A FII rY($50)DOLLAR FFE,PAYABLE BY CHECK OR MONEY ORDER TO THE CH Y OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABL 'AT THE'1'ME OF IIN�SPPFCTION
APPLICANT'S SIGNATURI - c =7 a4j4j� L DATE:_
Inspectors use only:
Date on initial inspecoon: Dine of relnsp .tion:, _
Date of issuancc of certificate'_1 j j8 ,0 8 Date Ice paid: 1 j-!e^ (sr
Type of unit: Dwelling " Oihot"
Notes:
VCo*dJntotLcen=t Inspector
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
,Ao SALEM, MA 01970
v TEL. 978-741-1800
FAX 978-745-0343
KIMBERLEY DRISCOLL JSCOTT@SALEM.COM
MAYOR
JOANNE SCOTT
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #610-07
DATE ISSUED: 12/7/2007
Property Located at: 1 D Fletcher Way UNIT# 1 D
Owner/Agent: Lawrence E. Keegan
Address: 27 Tanglewood Lane
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If'
Minimum Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH /
q - U�
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARO OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, IRS, 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 J) Fj4c,4 e UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FROBACK PLEASE CIRCLE ONE
OWNER/LESSER Lvwfevk& (05MANAGER/AGENT
No
ANAGER/AGENTNo P.O. Box - . 6 No P.O.Box
ADDRESS �2? "&jewJ tavLP- ADDRESS
u�
CITY--��V\ --CITY 0('t-7 b
RESIDENCE PHONEq7r�-71/q- ,S--a BUSINESS PHONE (24 HRS.)
BUSINESS PHONE_
TOTAL NUMBER OF ROOMS:__q
ROOM USE: 1. 2._K_3. B L) f/ 4._E3 b
5_ 6._7.:_8.
THERE IS A TWENTY-FIVE($25.40) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNAT DATE
INSPECTORS_USE ONLY
DATE OF INITIAL INSPECIQtL- .. 7 '" _DATE OF REINSPECTION___
DATE OF ISSUANCE OF CERT1FICATE:_z,27"o7_DATE FEE PAID:-/_g--7 D
TYPE OF UNIT: DWELLINGI -/OTHER CHECK#
-a- 7CHECK DATE
CODE ENFORCEMENT INSPECTOR 9/28/98
I
s R LJ
CITY OF SALEM, MASSACHUSETTS
BOARD OF HRALTH
120 WASHINGTON STREET,4""FLOOR PllblicgIC8lth
Imrem.rmmom.Pmica.
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL liamdin ,saleni.com
7 SvRRY It V'�iD N,Rti�l�,I IS,Cr1C ,('P-1^S
MAYOR Hew:rn AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#484-12
DATE ISSUED: 12/13/2012
Property Located at: 3 Fletcher Way UNIT# D
Owner/Agent: Matt Cochrane
Address: 8 Nonantum Street
City/Town: Brighton, MA Zip Code: 02135 24 Hour Phone: 978-704-8200 x101
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll"
Minimum Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LA MDIN
HEALTH AGENT SANITARIAN
I
I . CITY OF SALEM, MASSACHUSETI'S4
`1 O
BOARD OF HGILTH
120 WASHINGTON SIRE r'r,4".FLOOR Pnb11CHC81th
Prevent.rrmmnlr Prnme,.
TFI.. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL tramdin@salem.com
- '� - LARIiYIL\bIDIN,IiS/RL?I-is,CMO,CP-PS
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"
FEE: $50.00 �1/J
PROPERTY LOCATED AT
��ETGJ15 UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT A CK•PLEnnASE IRCLE ONE
OWNER/LESSER_ 71 (�r,6I/tAN6 MANAGER/AGENTC/W c...r,y S£/Ft7 P awt7Y 1161
NO P.O. BOX
ADDRESS Alo_ . yM —cs-f ADDRESS /040 C-'R. Sn° f-JT
CITY, STATE, ZIP 13iZ)6NTOV It1 • 0213S- CITY, STATE,ZIP fievfR�y
RESIDENCE PHONE617- 07. %18' BUSINESSPHONE (24HRS) 5179- 70f1- 9200 X " "
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. I I,Igtr"r 2 1104+ n 3.&1 4 Bed ? 5 &A
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE ,4 i �� DATE//'S './-/X
Lectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check# I Check date:
Notes:
Co&gWrcement Inspector
All County Select
Dear Heather,
Per our conversation on 1/3/13,the inspection for Section 8 was already done 2 weeks ago by a young
lady(I forget her name). I did not have the fifty dollars at the time.
Could you please fax approval to the Housing Authority @ 978.744.9614?
Thank you,
100 Cummings Censer,Suite 434-p.Beverly,MA 01915
978-704-8200
w,,v.AllCounrySclecv.com
TRANSMISSION VERIFICATION REPORT
TIME 01/08/2013 23: 26
NAME
FAX 9787450343
TEL 9787411800
SER. # 000BON341991
DATEJIME 01/08 23:25
FAX NO. /NAME 919787449614
DURATION 00: 00: 18
PAGE{S} 01
RESULT OK
MODE STANDARD
ECM