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FOREST AVENUE 2 ° .CERT.# 188-01 FEE $25.00 �' .. DATE: 04/20/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 12 Forest Avenue UNIT #: 1 Left OWNER/AGENT: Linda M. Leroy ADDRESS: 10 Forest Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-4587 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE - - SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT ( ) MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UHEALTH NDERR�6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . O FOR THE BOARD i' DEV JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tec(978)741-1800 Fax: (978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". p PROPERTY LOCATED AT i 6- �� I "�tZW UNIT#(iR)_� 1 IS THIS UNIT DESIGNATED AS`RIGHT LEFT FRONT 13ACK PLEASE CIRCLE ONE OWNER/LESSER UNDA MANAGER/AGENT _ No P.O. Box r No P.O. Box ADDRESS�C� `uFtl1UE ADDRESS '�C� p CITY 5 1 W — CITY RESIDENCE PHONE�� ���� ' � BUSINESS PHONE (24 HRS.) A ._ BUSINESSPHONE SWE TOTAL NUMBER OF ROOM$:_ ROOM USE: 1. 2.�yy�� 3, 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. Ok APPLICANTS SIGNATURE--Sc ? \ —DATE M( . o O tc I INSPECTORS USE ONLY I DATE OF INITIAL INSPECTION `� " O / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE.q 6/ DATE FEE PAID: Y ' )'o__0 TYPE OF UNIT: DWELLING( J OTHER_ CHECK# -B / CHECK DATE NOTES: �C CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978) 741-1800 KJMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I�cller �Aux(�sni,r;M co�� DAVID GRuF,NBAUM ACTING HI3AI;1'II A(;FNT CERTIFICATE OF FITNESS CERTIFICATE#320-10 DATE ISSUED: 7/1/2010 Property Located at: 13 Forest Avenue UNIT# Owner/Agent: Joan Doyle Address: 98 Linden Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of our vacant Dwellin ng/Rooming Unit at the above address h P Y 9 9 ess as 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 JAU DAVID GREENBAUM !� �- ACTING HEALTH AGENT CODE ENWRCEMENT INSPECTOR M CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 K MBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGREEN3AVM&ALEM.COM DAVID GREENSAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 ,ROPERTY LOCATED AT # IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE )WNER/LESSER T08,--) �Le MANAGER/AGENT A P.O.BOX J7DRESS q& Li wE jmez f ADDRESS 'ITY, STATE,ZIP S!t MT 1�1 A 0� CITY, STATE,ZIl' ESIDENCE PHONE q 7 -� Y${a BUSINESS PHONE(24HRS) •USINESS PHONE OTAL NUMBER OF ROOMS:__ OOM USE: 1. 2. 3. 4. 5. 6. 7. . 8. 9. 10. HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM OARD OF HEALTH THIS FEE IS PAYABLE AT TH T OF INSPECTION PPLICANT'S SIGNATUREC"'"'�-X^" raa� — Inspectors use only ate on initial inspection: �� /� Date of reinspection' _ ate of issuance of certificate: Datefee paid: 6 vpe-oft:-Dwelling=l%�_Othes Chi #—)�-&a ChiecTc daate: - :)tes: t 14 a bL/ 7n L turn ho . n (A TIC- )de E orcem nt Inspector v��coNnlr, � CERT.# 303-99 FEE $25.00 29 a 3 - 1 DATE: 06/21/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 Forest Avenue UNIT #: 1 OWNER/AGENT: Ian & Alicia Churchill ADDRESS: 253 Lafayette Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 739-2470 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 ; MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH ll/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR '� ,NCONB T c ro n � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 °MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT e.h V"P- UNIT J IS THIS UNIT DESIGNATED ASIGII T LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER C � (ICCL' l i _MANAGER/AGENT___ No P.O. Box No P.O. Box ADDRESS S3 fn ADDRESS CITY Gfn� CITY_ vUtLR. w.a.1 RESIDENCE PHONE-7 - `( 7 0 BUSINESS PHONE (24 HRS.)_ BUSINESS PHONE_-, i I' 1 i L1 TOTAL NUMBER OF ROOMS: 5 I ROOM USE: 1. L r- -2. 3._. 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. gpo7 APPLICANTS SIGNATURE'-� � �` _DAT-E_ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ."-_ tl DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATE: -�( '_DATE FEE PAID: A t f f TYPE OF UNIT: DWELLINGXOTHER__ CHECK#-/I" CHECK DATE _,(-pkL Tf' NOTES: , CODE ENFORCEMENT INSPECTOR 9/28/98 •• CONN � % ' a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 06/16/99 Tel:(978)741-1800 Ian & Alicia Churchill Fax:(978)740-9705 253 Lafayette Street - Salem, MA 01970 PROPERTY LOCATED AT 16 Forest Avenue UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8 :00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used l exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. THE BO:WMPH,RS,CHO HEALTH REPLY TO qR anne Scc PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR `oND , City of Salem, Massachusetts a Board of Health 120 Washington Street, 4th Floor, Salem, PlublicHealth MA 01970 P«,,.m. P�...t.. Promo. 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-16-83 DATE ISSUED: 3/8/2016 Property Located at: 17 FOREST AVENUE UNIT#2 Owner/Agent: 17 Forest Avenue, LLC Address: 20 Delcarrnine Street City/Town: -- Wakefield, MA Zip Code: 01880 24 Hour Phone:(978)821-2404 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 F-� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T FLOOR � H ,th TEL. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL Iramdinnasalem.com MAYOR LARRY RAMDIN,RS/REDS,010,CP-F5 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" f/'' f FEE: $50.00 PROPERTY LOCATED ATI ii F a`f S f AL/,c UNIT# IS THIS UNITL(DISIGNATED AS RIGHT LEFT I R HT OR BACIG PLEASE CIIRCLE ONES OWNER/LESSER Lu I , �s-/ Ave , n C MANAGER/AGENT U 20 b �et rV NO P.O. BOX (� / ADDRESS ,�C2 Uwe ADDRESS CITY, STATE,ZIP —�cr ' til/ Iccfry��I /✓161, CITY, STATE,ZIP RESIDENCE PHONE LO BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM ROOM USE: 1. 1�i Icl 2. 1h1v,0 3 /J41101 q /Jd2v" $ L,,v n, 1w/i 6_Pu� 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 ABLE AT W TIME OF INSPECTION J f APPLICANT'S SIGNATURE—7 a Cot DATE Inspectors use o* Date an initial inspection: D3/121 211( Date of reinspection:031t9a C Date of issuance of certificate- Date fee paid: d L/ol oL6 Type of unit: Dwelling=Other Check# 22y Check date: 0301 120t' r LL / n 0 _'� Notes: c V�rSr+�t s na ! fit- v wi f� 'Co v ,� in f,,,Q„ I c� Aid 1Y7i2m 44 A. � C E brcement pector i �r CITY OF SALI✓M, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR Public Health Ti.,u- (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Iramdin(a�,salem.com LARRY I2AbN1N,RS/RF HS,CHU,CP-I�5 MAYOR HBA1."n i A(;ENT CERTIFICATE OF FITNESS CERTIFICATE# 179-12 DATE ISSUED: 5/1/2012 Property Located at: 17 Forest Avenue UNIT#3 Owner/Agent: Paremont Associates Address: 15 Lincoln Street#204 City/Town: Wakefield, MA Zip Code: 01880 24 Hour Phone: 781-789-5225 An inspection of your vacant 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 LARRY RAMDIN HEALTH AGENT 'SANITARIAN <. CITY OF SALEM, AASSACHUSMS or - BOARD r - BOARD OF HRR LTH 120 WASHINGTON STREET,4...FLOOR TLL.(978)741-1800 KTMT3ERLF.Y DRISC011 F.AX (978) 745-0343 MAYOR s(�Pi�t us, .rrvL(< M1t .L,1RRY]UNIDIN,RK/R 1?11,4,(:11(),CI'-l-8 III?"\[xI1 /\(;I;N'I, 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" PROPERTY LOCATED AT �GLk $5�FT—ORB—A—C,`�� 4 ISTHS D �JPLEASE LEASE CIRCLE ONEN # TL OWNERILESSER \�t lttr\.,mss t -3'�— MANAGER/AGENT_LIO. 6tJn- kSz�c ADDRESS ADDRESS 16 C ,\CL)16 q:S�. CITY, STATE,ZIP CITY, STATE,ZIP I P aUt RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: La ROOM USE: 1.I;yiM, rcur4 Z 'krLt, 3o�tCa�s� 4. 5. k 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEEIS YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNA - DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: S 1$ I-"L- Date fee paid: S'1 ` tZ — Type of unit: Dwelling�Other Check# I z3 8 Check date: �; -1 j2— Notes: ZNotes: Q�a S� (�tt �taUk �Ir�� ��ac tit�1� , 4�1 Z 1�cae1�J Sl rn�\ cit fa SC;rhe t' Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 93 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 1„„s TEL. 978-741-1800 FAX 978-745-0343 _ STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/4/05 Elizabeth & Paul Holland c/o Peter Dawson 6 Warren Street Hallowell, ME 04347 PROPERTY LOCATED AT 18 Forest Avenue Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. FoOhe Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 60Will , 5P CERT.# 72-99 �i FEE $25.00 DATE: 02/12/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fav(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 18 Forest Avenue UNIT #: 2 OWNER/AGENT: Robert Macdonald ADDRESS: 7 Woodcrest Drive CITY/TOWN: West Newbury, MA ZIP CODE: 01985 24 HOUR PHONE: 363-5332 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS _ BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I� n ' M CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410-000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT )S FO(-e,+ At- UNIT# -I- IS THIS UNIT DESIGNATED AS RIGHT LEF1T RONT BACK PLEASE CIRCLE ONE OWN ER/LESSER kb4,(-4— )-t c lona (m MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 7 W ooa&rt-g} Dr. ADDRESS CITY kjY-St /Newbury CITY RESIDENCE PHONE°IDK 363 5332 BUSINESS PHONE (24 HRS.) '18 ) 2H5 -L600 BUSINESS PHONE TOTAL NUMBER OF ROOMS: 5- ROOM USE: 1. I--R- 2. P, 3. g� 4. 5. KIT, 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. 11 APPLICANTS SIGNATURE eLglDATE 2l I v)q INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2- (L `�e f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: Z- ) -2 'f�DATE FEE PAI O � TYPE OF UNIT: DWELLINGL�OTHER__ CHECK# /3-0 CHECK DATE _2- f7- F NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF FIEaLTH . 120 WASHINGTON STREET,4"FLOOR PtibliCHC811:1E1 Prevent.Pr"mam:Prosect. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERL EY DRISCOLL Iramdinid salem.com L;\RRl'RA MDIN,RS/RE,fiS,(J30,CF-FS MAYOR HG\l:rl-IAGEN"r CERTIFICATE OF FITNESS CERTIFICATE#34-14 DATE ISSUED: 2/3/2014 Property Located at: 19 Forest Avenue UNIT#3 Owner/Agent: Dianne Leger Address: 21 Forest Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-210-1159 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II"Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR y HEALTH AGENT SANIT RI CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3q 120 WASHINGTON STREET,47 FLOOR 'I'LL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR 1AAMQTN tiAI FM.COM LARRY IL\\TDIN,RS/RI3I IS,CI.-f O,CP-PS HI'.Ai.TI-I 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" G� FEE: $50.00 PROPERTY LOCATED AT / ;G.e�l/4u-E- . UNIT#Z? IS THIS UNIT DIISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER -"144 MANAGER/AGENT :54- ,,ems NO P.O.BOX ADDRESS o2--1 s'6,e,�Z 4eg— , ADDRESS -S AArtS CITY, STATE,ZIP i/, e !uQ D 9�!� CITY,STATE,ZIP�/1 ` RESIDENCE PHONL/���� 5 60 BUSINESS PHONE(24Hd ri RS '7B)ae�— BUSINESS PHONE( f;'g') �'llJ�>�S—moi TOTAL NUMBER OF ROOMS:_S� ROOM USE: 1 2./K'76-/G-.f 3. 8477/ 4.8,P- / 5 B�`Tl 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS ABLE AT THE TPgv0F INSPECTION �7 APPLICANT'S SIGNATURE ' DATE saectors use only Date on initial inspection: Z -d- ) Date of reinspection: Date of issuance of certificate: 2-3"14 Date fee paid: 2- -3--14 Type of unit: Dwelling ✓ Other Check# ]421 Check date: 2-3- )l Notes: Code Enf &cement Inspector x CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TE.1...(978)741-1800 KIMBERLEY DRISCOLL Fax(978)745-0343 i MAYOR r R vMD1N s vt Fu t;t)M L,\RRI'R/AMDIN,RS/RF_Hti,CHO,Ch-Fs � Hu'AL11I AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter H and Article XIB of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property,hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/L.essee Owner/Lessor Address Address Address on unit to be inspected Date Updated 5/23111 z � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT 8 07/19/2001 Tel: (978)741-1800 Fax: (978)-745-0343 Matildita Marquez 20 Forest Avenue #1 Salem, MA 01970 PROPERTY LOCATED AT 20 Forest Avenue UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8 :00 a.m. - 4:00 p.m. A $25 .00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. 0/��OAR/� D Off' HEALTH REPLY TO l Joanne Scott,,�/MjRPH,RSS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR City of Salem, Massachusetts Board of Health 9 120 Washington Street, 4th Floor, Salem, PablicHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-16.42 DATE ISSUED: 2/12/2016 Property Located at: 20 FOREST AVENUE UNIT#2 Owner/Agent: Rob Cabral Address: 1 North Street City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(781) 367-9858 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 SANITARIA CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ����. 120 WASHINGTON.STREET,4"'FLOOR rrubHC o�eHeYl,•h TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL .Iramdin@salem.com salem.com LARRY RAMDIN,RS/REHS,CHO,CP-I'S MAYOR Hi ,AV 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 PROPERTY LOCATED AT -F�r1` IOP `L UNIT#—(9-1. r� IS THHIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Ob Ur�'� MANAGER/AGENT / `�-ch& a Liu NO P.O. BOX ADDRESS—1 North ADDRESS Ifk '�I - CITY, STATE,ZIPS �; /N , CITY, STATE, ZIP-( �"�- �.� RESIDENCE PHONE B7 -�C�`4� ' BUSINESS PHONE(24HRS)�Y W3-170r BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ / ROOM USE: 1 UWlt t ytu 3 Vi=tit r l 4 t�✓een� 5.GeV 1 6.0 �2— 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: r)2-/nq/2 nl6 Date of reinspection: Date of issuance of certificate: 0?/09/2n16' Date fee paid: 02/09 /7 Zt,^ Type of unit: Dwelling__V/' Other Check# Check date: /�/26�( ^ ff NOtes:�v rLlni�nn rr�nrn wirn/An om wlnJnw 2a7 � ohr w n)nw I n Irr�rroorn nenre�'-� ra: r II r 1 I n�r of `tat Y is 0.�IGhe� I rIC Wa,7C q,4vre a0 C0.k� 4i � OY' ^I IC.h CLI S;h I� i Ga L jr, 4J5poJ no+ wo✓kl�, ✓ C r� orcemen7t 44 r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTI-[ 120 WASHINGTON STREET,4"i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR nclzerNltnuM 7a snt eha.coM DAVID GREE:NBAUM ACTING HEALTI-I AGI N"I' CERTIFICATE OF FITNESS CERTIFICATE # 130-10 DATE ISSUED: 3/19/2010 Property Located at: 22 Forest Avenue UNIT# 1 Owner/Agent: John Kavanaugh Address: P.O. Box 467 City(Town: Beverly, MA Zip Code: 01915 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 D OF HEALTH DAVID GREENBAUM ACTING HEALTH AGENT CODE EN CEMENT INSPECTOR • � CITY OF SALEM, MASSACHUSETTS IGb BOARD OF HEALTH 120 WASHINGTON STREET,41 'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR I)GREENBAUM&ALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT c —AP , UNIT#—L-- IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERJOAO _ A yv0,Ww MANAGER/AGENT NO P.O. Box �-b- �X �( T �E�c�\y imp. pFIIS— ADDRESS-& X55 ADDRESS CITY, STATE, ZIP IJ�/ �� ��_ 0(°(1 S CITY, STATE,ZIP RESIDENCE PHONE 9 7�—'7 L(L( —216-7 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:—Q ROOM USE: 1 Lkitj NA 2. Nw�Is1 �n3. 4 INz 42n.aiw 5 �gU�v✓� 6.0A0 7. v 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE( DATE ►� � .�� q Inspectors use only Date on initial inspection: !�U Date of reinspection:� Date of issuance of certificate: //0 Date fee paid: �� ll / Type of unit: Dwelling_Lzother Check#Check date: Notes: x'um Ub k6f ww /)(A— Code Enf em t Inspector • 8 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOIJ FAx(978) 745-0343 MAYORul1 ONNI&SA .r:M COM ]ANBTDIONNI:S AcTIN6 HvAvrii ACiI''.NP CERTIFICATE OF FITNESS CERTIFICATE#571-08 DATE ISSUED: 11/13/2008 Property Located at: 22 Forest Avenue UNIT#2nd floor Owner/Agent: John F. Kavanaugh Address: P.O. Box 467 City/Town: Beverly, MA Zip Code: 01915 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. FOP,THE POARD YF HEALTH NE DIONNE ACTING HEALTH AGENT C ENFORCLWNT INSPECTOR ti I CITY OF SALEM, MASSACHUSETTS ' ♦ 1 BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR JD10NNr a SAJ rht.COM JANET'DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT-5 EL)s eST AVE UNIT# ' IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONF. OWNER/LESSER �)c 11N �Wy f" AJ`A UCS MANAGER/AGENT NO P.O.BOX ADDRESS P-D. CZ,, 7 ADDRESS CITY, STATE,ZIP Qti/ l I � CITY, STATE,ZIP 4 jt57 RESIDENCE PHONE USINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 K-'W#9✓+1 2.i�A4+ 3. L \j."Lt e%4. �y�v r1P 6 fy/Lla9 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 OFINSPECTION APPLICANT'S SIGNATURE �_ � (� DATE /I t 3 08 t rr Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: j Type of unit: Dwelling Other Check#_Check date: Notes: cj(—+ayl b a5P w19�t 1— S I� ,r� a C�nforcement Inspector wNn� City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PlabliCH6aith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-502 DATE ISSUED: 12/29/2016 Property Located at: 22 FOREST AVENUE UNIT#Studio Owner/Agent: John F. Kavanaugh Address: P.O. Box 467 City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN@SALH.M.C.OM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT r� 2 to j4 A = UNIT# 1 ^�IS THIS UNIT DDIS,IGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER lu 1�y7 bat MANAGER/AGENT SAV NO P.O.BOX 1q'fli ADDRESS b� &X V 67 6'x,2 ��! A0- ADRESS CITY, STATE,ZIP Mry QA-� CITY, STATE,ZIP VV cLSS RESIDENCE PHONE Z U -7()L\ Z BUSINESS PHONE(24HRS) S AVvlE- BUSINESS PHONE TOTAL NUMBER OF ROOMS: I P-Yv� . 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:Dcc—4e-2-92 Date of reinspection: . _ .c, reinsp`ect7io'nJ: Date of issuance of certificate:�c Date fee paid:Dec- 12A 2n }IL Type of unit: DweeingOther Check# 1( )UCheck date: d6- ")W—APy M of eat wCk+ 6 n G' +' L�e a� 110-- Iso Code Enforcement Inspector e i J CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �J 120 WASHINGTON STREET,4i,.FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR )MANCTNI(&ALFM.COM JANET MANCINI ACPING Hj?ALII'I AGIi.NT CERTIFICATE OF FITNESS CERTIFICATE #24-09 DATE ISSUED: 1/15/2009 Property Located at: 24 Forest Avenue UNIT# 1 Owner/Agent: Mary H. Ortins Address: 16 Englewood Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 531-3360 An inspection of your vacant 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 JANET MANCINI ACTING HEALTH AGENT COPENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ` BOARD Or HEALTII 120 WASHINGTON STREET,4"'FLOOR TEL. (978)74I-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR tDIONNE&SAUM COAI JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �- FEE: $50.00 PROPERTY LOCATED AT / l)P f S7'�ZZ Ili! UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT ORB, ACK PLEASE CIRCLE ONE OWNER/LESSER �1 ti til. St MANAGER/AGENT NO P.O.BOX ADDRESS I p� C�Gi/DO /� Q, ADDRESS CITY, STATE,ZIP 1 Pe ,2q-13 D 0 CITY, STATE,ZIP RESIDENCE PHONE rs' J` f- 3 3 6 0 BUSINESS PHONE(241 RS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4 6p 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 f / fi� DATE S—,Z")p Inspectors use only Date on initial inspection: 1111291 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#/Aig� Check date: Notes: Code nforcement Inspector 4 . v��CON01T�i CERT.# 331-99 FEE $25.00 DATE: 06/29/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 24 Forest Avenue UNIT #: 2 OWNER/AGENT: Domingo E. Ortins ADDRESS: 16 Englewood Road CITY/TOWN: Peabody, MA ZIP CODE: 01960 24 HOUR PHONE: 531-3360 AN INSPECTION OF YOUR VACANT 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" . j THEREFORE, THIS CERTIFICATE ZS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE, SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH qOZ)E SCTT, MPH,RS,CH0 HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fu:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Z y FD QL's fP. —UNIT#,4 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERfLESSErsb V_J� fi S MANAGER/AGENT No P.O. Box (J / No P.O. Box ADDRESS Lt�/ QD� k'c! ADDRESS . CITY die v U _CITY RESIDENCE PHONE_CZC 53/'1',3 )BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Sf ROOM USE: 1..bd-eA2.hd1Lm._3. bdnarr-4.Ltt1,1-ttiI THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY r ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE/ _DATF))e INffSPECTORS USE ONLY DATE OF INITIAL INSPECTION b '��_DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE f,,_,,�-eC -q-51—DATE FEE PAIDS _ TYPE OF UNIT: DWELLING,jrOTHER_ CHECK# i O CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 n �S 7 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT 06/24/99 Tel:(978)741-1800 Domingo E. Ortins Fax:(978)740-9705 16 Englewood Road Peabody, MA 01960 PROPERTY LOCATED AT 24 Forest Avenue UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25 .00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. R THE BOARD H REPLY TO annne Scott, MPH,RS,CHO PABLO VALDEZ ' Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 225-97 3 FEE $25.00 DATE: 04/14/97 MING CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 Fax: (508)740-9705 CERTIFICATE OF FITNESS , PROPERTY LOCATED AT: 24 Forest Avenue UNIT # : 2 OWNER/AGENT: Domingo E. Ortins - ADDRESS: 16 Englewood Road CITY/TOWN: Peabody MA . ZIP CODE: 01960 24 HOUR PHONE: AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE. ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER IT,. "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE; ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. . MAXIMUM ,NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 416.400 (C.) : ROOMING UNIT i ) MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .. NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS,CHO - — HEALTH AGENT CODE ENFORCEMENT INSPECTOR 'rb i , s�RyY. i• ♦�� s �ta Mi+ 4 y' rs"rtrnk , K . ��� x -.t✓- ��✓+✓s"�4. s �° trs,�w H3?'fn'.�'eY V`7+,��z� sn.'�#+�v �� >- c. "lbw „„y 3"^ - ,i5 (xy i�l�x ?' g.,R!+�”-S x z xY ��,f• � x f 2t his .i s �L � nN;. `vyi.y� < h. . a�rg •�f � _� Y•,, 1�y x ,`'r< tvJ S ix +t zs,�s�,r T 2�k' tt 4+'.£�r,4y,a' `�"' .i` • <� 'Y` 'tt - +' ^' uL 'J .' '.F R � n h V'1'ib#` ro 4Gy � +3 �t? b t y " 'y �?. �z '� � • c -h��2 d ,��u�e d�A.y'",� 5-4t,�+An� g, �fi� 'k: S ° •i rf xt fx%/ //�� .�t . 4 ' t 1(��sQ�x ��Y�k'n�+,S�'wy,J ''rh' i• } 2`. y � r •�� • � �� "�"' .5 . Ja' �T•"tet es.CNo ' M � Oi970=3928 iAGENi APPLICATION FOR NINENORi1{sTpEET IN ACCORDANCE CEBTIFICTE OF FTTtIIrSS Tet(SM 741-1800 STANDARDS OFF STATE SANITARY:CODE (508)740-9705 NESS FOR HikiAN C({APTER LI., 105 CMR 41b.000 `•NINIMHw HABTATION , PROPERTY LOCATED AT ' Lf OWNERAESSER "t UNIT / ADDRESS , s` _ — v �MANACEorAr,F - / 04 CITY " ADDRESS B'onmCE FEpNE: CITY Bi)3ItILSS PHONE. BUSINESSPROBE (24 DBS.) TOTAL NUMBER OF ROOMS:- --------------- BOOM USE: ------ •________�7 THERE ISA CITY OF SEM ANT TM(25.00) DOLLAR �E, PAYABLE I'FE IS PAYABLE y CBEC$ OR MOHEY-ORDER TO THE APPLICANTS SZGNATUR2;-_ � \ 1 AT TD$ TIM OF ZNSPECTZOH XffSPECTORS USE ONLY DATE OF INITIAL INSPECTION: t DATE OF ISSUANCE OF DATE OF REINSPECTION CERTIFICATE: _I _ TYPE OF UNIT: DWELLING DATE FEE PAID.- No NOTES: CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""F1,OOR TE1,. (978) 741-1800 KiMBLItLEY DRTSCOL'I' FAX (978) 745-0343 MAYOR lramchn@salem.com 1,ARRY RAMDIN,RS/M;:FIS,CIiO,CV-FS HFAI:1'I I AGISN'I' ('FRTlEtCATF OF FITNESS CERTIFICATE#289-11 DATE ISSUED: 8/16/2011 Property Located at: 24 Forest Avenue UNIT#3 Owner/Agent: Domingo E. Ortins Address: 16 Englewood Road City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 531-3360 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LAR RAMIDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS jzo� BOARD OF HEALTH ' 120 WASHINGTON STREET,4'"FLOOR T'eL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN cQr Al rH CONI LARRY RAAIDIN,RS/I(VI IS,Cl 10,CI'-hS HF.AIxii A(;P'.NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED ATA .S >4 J Lvi O 1, S UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERAohL , N,j-�eS 0/? 7-1 » S MANAGER/AGENT 11/6,4/r _ NO P.O. BOX ADDRESS l C ADDRESS CITY, STATE,ZIP lf-L /3 d 0�¢S s. eP6d CITY, STATE,ZIP RESIDENCE PHONE—ZZ?-�`3/- ,1.� ,r BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3 4 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE THE PAYABLE AT �HE TIME OF INSPECTION APPLICANT'S SIGNATUREA , (/� �� DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: / / Date fee paid: Type of unit: Dwelling--I R/# (p//1 Notes: -fU r(\., up 1o''- i4ic44tr 12P,,b(rQ Ae4Qni novwj m Cod 1En1 ement Inspector CI1"Y 01: SALEM, MASSACHUSETTS BOARD OF HE-\LTH 120 WASHINGTON STREET,4...FLOOR Publicdiealth _ Tr:a- (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL liatndin@salem.com L/ARIZV'RrANI'D1N,Rti/Rl3f-1S,CIiO,C:P-1%S MAYOR CERTIFICATE OF FITNESS CERTIFICATE#247-12 DATE ISSUED: 6/22/2012 Property Located at: 30 Forest Avenue UNIT# Owner/Agent: Ann Marie Porto Address: 30 Donna Drive City/Town: Tewksbury MA Zip Code: 01876 24 Hour Phone: 978-815-3855 An inspection of your vacant 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 Occupa cy. FOR THE BOARD OF HEALTH Y AMDIN HtAftH AGENT ANI ARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �•I 130 WASHINGTON STREET',4°1 FLOOR a TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IazAMIAN n sMALM.coml LARRY RAMUIN,RS/RF1 N,CHO,CP-I'S H I.',AI I'1 I AG r.,N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.100 PROPERTY LOCATED AT d rOy-e5� 4V UNIT# /n IS THIS UNIT DISIG"�NA/TED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 4Y) jjrA,— o MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS 36T�00c, CITY, STATE,ZIP CITY, STATE,ZIP lC Six.. 1M t 6(&7-6 RESIDENCE PI40NE /7 )—7 9d _BUSINESS PHONE(24HRS) 3�55 BUSINESS PHONE TOTAL NUMBER OF ROOMS: -7 ROOM USE: lAd V6m 2. 3. 4 4d Wm 5 6. lY`Uor7rba- 7. K'lef w 8. /7nnsXga),y 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 ATTH TIME OF INSPECTION APPLICANT'S SIGNATURE of ;OeA DATE Inspectors use only Date on initial inspection: 6 �l a Date of reinspection: --, 7/ � � Date of issuance of certificate: gg��� �,,�77,_Date fee paid: Type of unit: Dwelling Other Check# VJ'��'UAheck date: �! Notes: II IV! !Zt° I I ° t-L� rt,z2� � Cuece cWL t6a(/WcO mi bcwk pac(-,h be rye a'r�, cc)V�e is k4j aoC) n In u C orcement Inspector _( _ �� dlv�lh5 tv-am ce�,h�x-ef. �v� t CERT.# 860-97 3FEE $25.00 X114. Ro, DATE: 12/30/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 34 Forest Avenue UNIT #: 2 OWNER/AGENT: Roland Dumais ADDRESS: 34 Forest Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-2754 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. OR THE BOARD HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR M q CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED Al 3 UNIT I OWNER/LESSE��T�G�?� ��yy��/N� MANAGER/AGENT ADDRESS J -7r &UdV-atl- l ADDRESS CITY CITY RESIDENCE PHONE 'r�]� � / BUSINESS PHONE (24 HRS.) BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4 . 5. _6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA__LL�TU. DDE��PARTHE THIS FEE IS PAYABLE AT THE TIME OFf INSPECTION APPLICANTS SIGNATDRLT � 1�42d a'-4 DATE / _Y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: 7 j{S G / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 36— ( 7 DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER�� NOTES: CODE ENFORCEMENT INSPECTOR