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GARDNER STREET CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 120-05 DATE ISSUED: 2/22/05 Property Located at: 3 Gardner Street UNIT#2 Owner/Agent: Richard Boucher Address: 3 Gardner Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-2720 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Cade Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH i JO NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ✓' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Ute" • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FORj HUMAN HABITATION". PROPERTY LOCATED AT -3 / UNIT# 2- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER C,41�.d/�-e2'it�ie� MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 1, ls�/ dir/�r? nT _ ADDRESS CITY S �G'iyJ CITY �l�S% RESIDENCE PHONE1yS fZ d BUSINESS PHONE (24 HRS) BUSINESS PHONE SE' TOTAL NUMBER OF ROOMS: L' ROOM USE: S. 6 7. S. 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. �9 APPLICANTS SIGNATURE ter-8�� DATE.,A �_✓ r�� INSPECTORS USE ONLY DATE OF INITIAL_INSPECTION a2 117- 6 S DATE OF REINSPECTION 6' l7DS' 9 0 DATE OF ISSUANCE OF CERTIFICATE � DATE FEEPAI D 7 TYPE OF UNIT: DWELLINA�/ OTHER CHFCK .. Y g (o CHECK DATF NOTES CODE ENI-0HC[Mt-NT INSPECI OH CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 _ TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT. MPH, RS, CHO - MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts P,a:gulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the Cit; of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence , 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge. the City of Salem, Salem Board of Health and its authorized ahe,zs Ecom any less or injury sustained of Lrilatever nature an6 description occasioned by my/our absence during said insnecti.cr. . NER/i,F,SSpF ---- - - ---- .- --------. .---. ---- - ,'.it lith:SS (V !1NI i' (" iS;C CaYI.�"I'Eil c CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH p4i 120 WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/8/05 Richard Boucher 3 Gardner Street Salem, MA 01970 PROPERTY LOCATED AT 3 Gardner Street Unit 2 Front Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 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 $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meters records electricity and P O Y gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Joanne Scott MPH, RS, C-H75` Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4r"FLOOR e rre�"m.Pmmm"..rmma. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com LiARRYRAbIUIN,RS/RIiI-1$,CI{O,CY-FS MAYOR HuACI'I'I AGLi,N'I' , CERTIFICATE OF FITNESS CERTIFICATE#35-15 DATE ISSUED: 1/22/2015 Property Located at: 5 Gardner Street UNIT#2 Owner/Agent: James Maynard &James Singletary Address: 7311 Seward Park Avenue South City/Town: Seattle,WA Zip Code: 98118 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate.of Occupancy. FOR THE BOARD OF HEALTH LATik RAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS Yr µ BOARD OF HEALTH 120 WASHINGTON STREET,4°'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR. I.RANIDIN C@l S/J.(:M.COM LARRY RAMDIN,RS/REIIS,cl IO,CP-IS HEW..' HAGE.NP 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 �G t`(� h � 2 s�"� ✓� UN '&4IT# IS THIS UNIT DISIGNATEP AS RIGHT LEFT FROft OR BACK,PLEASE CIRCLE ONE gbtgl2 OWNER/LESSER :5 +x (95 )QQ-Y c_r. , 3 Y"QS 'MANAGER/AGENT TY5671 LX/, c NO P.O.BOX �1 ADDRESS 100 ( � rnm, y� C� � + ADDRESS 31 5ewa �O �uC It U2 S pp CITY, STATE,ZIP S P C`4'L WA � ? I I � CITY, STATE,ZIP �C vQf�y AM bGI (I RESIDENCE PHONE Sbg �32 d 1 BUSINESS PHONE(24HRS) BUSINESS PHONE q ,� 01165 UR TOTAL NUMBER OF ROOMS: 1 ROOM USE: 1. C VhghXk 2. Dinn?^h 3. 584 1 4. Q4 Z 5. 1 6 I6,4 e 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 IME OF INSPECTION APPLICANT'S SIGNATURE :_ DATE4/2 Z S� Inspectors use only Date on initial inspection: I� 115 Date of reinspection: Date of issuance of certificate: / Date fee paid: / Type of unit: Dwelling Other Check# J ` Check date: (1 Notes: \('0G`A -9 Cskr3-i+nr M LL,�O .Qr� -K3fI'CP Co rc ent Inspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR p SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT June 11, 2003 John Worth 7310 Us Highway 310 Mot Ellenton, Florida 34222-34 PROPERTY LOCATED 5 Gardner Street Unit#3 It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For t�f Hye�alth� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"i FLOOR TFL. (978) 741-1800 I IMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I)caea N13AUM@Sw.r•MCOM DAVrD GRi•;ENBAuM,RS AC"PING I-Irlu I I AGENT CERTIFICATE OF FITNESS CERTIFICATE#421-10 DATE ISSUED: 8/26/2010 Property Located at: 7 Gardner Street UNIT# 1 Owner/Agent: Juan Carlos Camelo Address: 72 Orne 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 I DAVID GREENBAUM, RS ACTING HEALTH AGENT COD NFORCE INSPECTOR I � CITY OF SALEM, MASSACHUSETTS ! 'U BOARD OF HEALTH G` 120 WASHINGTON STREET',4".FLOOR 'TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRITNBAUNI&AI.e:M.COM DAVID G'REENBAUM, 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." ,7 cxu _I - _ 5+ FEE: $50.00 ..IYXW f1V� .. ,., PROPERTY LOCATED AT- ot- UNIT# L _ IS THIS UNIT DISIGNATED ASS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER J004 CQVvt.•.Q l0 • MANAGER/AGENT NO P.O. BOX // ADDRESS Z C�� bh ADDRESS �1 CITY, STATE, ZIP S /(e LA4 tAAA CITY, STATE, ZIP RESIDENCE PHONE rDe Z6 $ q ( C) BUSINESS PHONE(24ERS) C--t� BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1 e j tmv. 2 bSedm,)7, 3. 19q,. �i k.�y r eti 6. 7. 8. 19. 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 B"LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE \ /"w( �c�f / DATE Inspectors use only C, Date on initial inspection: lLcl 1 0 Date of reinspection: o�s Date of issuance of certificate: Date fee paid: Type of unit: Telling Other Check# Check date: 09T 2f2 I Notes: 0,O�1 I iV1 t ot b2 r emo QAC; sprafe t I\-epo-,pq 'C ojxroom cei�rr�; re-Ia-JIr- 1'kR.--ub� srna�e c� efoYS de nforcement Inspector mJSt wo`�; 1JYb�tdL �b�n VhOYIOJU& w'vC:f0Y' , ✓pf,06 dR hc�v,�reu l d 17 b�t�e n�e�1� S ri % 1 CITY OF SALEM, MASSACHUSETTS BOARD OFHEALTH S 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#222-07 DATE ISSUED: 5/10/2007 Property Located at: 8 Gardner Street UNIT#2R Owner/Agent: James Rioux Address: 18 Autum Drive City/Town: Stony Point, NY Zip Code: 10980 24 Hour Phone: 610-657-5134 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 ?ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT S� UNIT if j=�,,sm Gn,m-r Doorz IS THIS UNIT DESIGNATED A RIGH LEFT FRONT BACK PLEASE CIRCLE ONE / OWNER/LESSERJ"'� �'OG`X MANAGER/AGENT No P.O. Box No P.O. Boz ADDRESS /9' �u�U�"' a2 ADDRESS 3F-' CITY jC4,, r y Poa/•Y CITY li570 s7nl �. /i°Ya- RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF/ROOMS: n ROOM USE: 1. k`-1` 2 -Pi^i 3 Qck 4 5. _6._7._& THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT EPAR IS PAYABLE AT THE TIME OF INSPECTION. _ l APPLICANTS SIGNATUR DATE + 07 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 510 '0-7' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: )07 TYPE OF UNIT: DWELLING _OTHER_ CHECK# 4')I '-/ CHECK DATE�;ho NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 L__ CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 04/05/2001 Fax: (978)740-9705 Marguerite Rioux 8 1/2 Gardner Street Salem, MA 01970 PROPERTY LOCATED AT 8 1/2 Gardner Street UNIT # 1R 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. - i Please notify us if you do not intend to rent the unit. I 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 I is not a written letting agreement stating the tenant is responsible for those utilities iand 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. F R THE BOARD 0� REPLY TO oanne Scott, MPH,RS,CHO PABLO VALDEZ ' HEALTH AGENT CODE ENFORCEMENT INSPECTOR �v N h 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 12/06/99 Tel:(978)741-1800 Fax:(978)740-9705 John & Barbara Canty 9 Gardner Street Salem, MA 01970 PROPERTY LOCATED AT 9 Gardner Street UNIT # lst Floor 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. OR THE BOARD F H TH REPLY TO II Joanne Scott, MPH,RS,CHOPABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS + - BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR IMANCINI&AIA%M COM JANHT MANCINI AC'T'ING HE'AL;f11 A(;FNT CERTIFICATE OF FITNESS CERTIFICATE#638-08 DATE ISSUED: 12/9/2008 Property Located at: 10 Gardner Street UNIT#1 Owner/Agent: Terrance B. Neylon Address: 10 Gardner Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 236-6280 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant,vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH ANET ACTING HEALTH AGENT CODE ENF CME INSPECTOR '.'!' `fes » CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGT<>N STREET,47 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYORDION IQS,v.E NI COM JANET DIONNF„ 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 HABITA'TION." FEE: $50.00 PROPERTY LOCATED AT--A 613 !) e2-1- ST UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER I G' YrA r1 e 1J A) 01lp 'MANAGERI AGENT NO P.O. BOX ADDRESS /D 6--1 A ML01e-r S� ADDRESS CITY,STATE,ZIPS P, CITY, STA'T'E,ZIP RESIDENCE PHONE, g7e '7L4S �Lj15� BUSINESSPHONE(24HRS) BUSINESS PHONE--k TOTAL NUMBER OF ROOMS:_,____ ROOM USE: 1 K,fi c h e rt 2 1 t 3 ?-xl� m 4 Rt v m 5. 6 Ly QM 7 Dn 'R-ws 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 SIGN A DATE /d 41 `C5 Ins ors use only Date on initial inspection: _)O'�, Date of reinspection: Date of issuance of certificate: I -Z 0) ' a' Date fee paid: 2 ^ g -OV Type of unit: Dwelling-!, Other_- Check# 3 V d n Check date: Notes: Y 1 Code Enforcement Inspector y CITY OF SALEM, MASSACHUSE`I'I'S B().1RD OF HEALTFI Vil p11t11tCHCalt}i 120 WASHINGTON STREET,4"'FLOOR Prevent.Pram,ne.Pane«. TEL. (978)741-1840 F,1R(978)745-0343 KIMBERLEY DRISCOLL Iramdin a salem.com LARRI'RAMDIN,RS f i2E.FIS,f FtO,f;P-FS MAYOR HECAI; I i A6FNI CERTIFICATE OF FITNESS CERTIFICATE#262-13 DATE ISSUED: 7/30/2013 Property Located at: 10 Gardner Street UNIT#2 Owner/Agent: Allison & Michael Strout Address: 10 Gardner Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-7414 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division31,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 LAftY RAMDIN HEALTH AGENT SANITARIAN ` CITY OF SALEM,MASSACHUSETTS w a �t BOARD OFHEALTH 120 WASHINGTON STREET,4"FLOOR PablieHealtn Prevent Promna.Protect. TEL.(978)741-1800 FAX(978)745-0343 KIMBERLEYDRISCOLL lamdin ,saiem.com MAYOR _ LARRY RAMDIN,RS/AGNS,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/ D GR-1 bn e r `<�T UNIT# Z nn IS THIS UNIT DISIGNATED AS RIGHT LENT'FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER/�I/'Sb71 f/�Ir(�Qp� SfrUtiL� MANAGER/AGENT Rag le -Z- NO CNO P.O..BOX ADDRESS�O G # ADDRESS °J iii 7 ?i4LCc�Q f� CITY,STATE,ZIP SQ/LO m , MQ O l 76 CITY, STATE,WSJ {9� GL 0 l 9 76 RESIDENCE PHQ8-" R3(0 . 2-67//. BUSINESS PHONE(241IRS) 9 7 L 7 9 9' 2 �� BUSINESS PHONE S P��oc Q TOTAL NUMBER OF ROOMS: ROOM USE: L/0 2. Z)!h 3 4 /�e �, 5. 6. r'�kg--d 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 AYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE /) DATE �O Inspectors use only Date on initial inspection: '7--3Q- )3 Date of reinspection: Date of issuance of certificate: -2-M-) 3 Date fee paid: "7-'30-13 Type of unit: Dwelling_ Other Check#JSCheck date: Notes: RiM4%4 P hww , W%,WSJ . Code Enforcement Inspector NO. DATE RECEIVED_ FROM DOLLARS SG Account Total $ _ — g: Amount Paid $ �.�� '' Balance Due $ C�l(7 T\'rtVA\ r Signature , Y I CERT.# 19-01 FEE $25 .00 99gro� DATE: 01/26/2001 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: 10 Gardner Street UNIT #: 2 Front OWNER/AGENT: Terrance B. Newlon ADDRESS: 10 Gardner Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7414 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 v V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT - CODE ENFORCEMENT INSPECTOR i i CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 10 9Wrwsr S j UNIT# / IS THIS UNIT DESIGNATED ASIR GHT LEF FRON BACK PLEASE CIRCLE ONE OWNER/LESSERTE8Rw16 3_ NEVE-o() MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS l0 6n/wtjerz s r ADDRESS CITY S/9LE m,_CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS. 62 ) _;�66--26.37 BUSINESS PHONE 01 t) 266 ao a 0 TOTAL NUMBER OF ROOMS: 6 ROOM USE: 11< Iclrr 2.D/n_t_3. L)y1 q—Ree--no, 5 $>:pamM g.�enamrn7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATU DATE/ZG O/ S C/0 S ONL DATE OF INITIAL INSPECTION -� 6 'C>l DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/ >& Y2( DATE FEE PAID:/—,,,, 1, r TYPE OF UNIT: DWELOTHER_ CHECK#,2Lt G 2 CHECK DATE v( NOTES: �/{\ I CODE ENFORCEMENT INSPECTOR 9/28/98 • + CITY OF SALEM, MASSACHUSETTS _. BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR INIANCINI(y ,%LF:M.COM JANI 1'MANCINI ACTING HFeALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE # 179-09 DATE ISSUED: 4/9/2009 Property Located at: 10 Gardner Street UNIT#3 Owner/Agent: Terrance B. Neylon Address: 10 Gardner Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 236-6280 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 JANET MANCINI ACTING HEALTH AGENT CODE ENFORCE NT INSPECTOR CITY OF SALEM MASSACHUSETTS 1�-O� ' i BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IDIONNE(a SM.EM.COM JANET DIONNE, ACTING HEAUM 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 /0 G/alt D N Er- STREP UNIT# 3 IS THIS UNIT DISIGrrNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER�T�i�NCE �, /�EYLorJ MANAGER/AGENT NO P.O. BOX _ ADDRESS /6C-A5�f DAI X S7✓CE'x-% ADDRESS CITY, STATE,ZIP_ 5��, IV) _ CITY, STATE, ZIP RESIDENCE PHONE !2FL-;7(- V USINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: L)</7C*-tJ 2.-A36-Pt"n*I- 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PYABLE BY CHEC R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ISP E AT TIM F INSPECTION APPLICANT'S SIGNATUR DATE#'� '' 11 ectors use only Date on initial inspection: Y 'el Q Date of reinspection: Date of issuance of certificate: L}_ _O�{ Date fee paid: V• 9 -104 Type of unit: Dwelling C/" Other Check#-!50 3 10� Check date: (4. Oq, o Notes: Jo4d,groMb�iktInspe o Ilk ye , 'QQ CERT.# 119-97 3 53 FEE $25.00 DATE: 02/26/97 PlIfB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)74 -1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 11 Gardner Street UNIT #: 4 OWNER/AGENT: Philip Burnham ADDRESS: 11 Forrester Street CITY/TOWN: Salem- MA ZIP CODE: 01970 24 HOUR PHONE: 744-3259 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410-000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR conm;7' M CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT 04/23/99 Tel: (978)741-1800 Blair & Evelyn Consoli Fax: (978)740-9705 80 Orchard Street Salem, MA 01970 PROPERTY LOCATED AT 14 Gardner Street UNIT # 1st Floor 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 8:00a.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. IF R THE BOARD O HEALTH REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS u : BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �0N6 TEL. 978-741-1800 STANLEY J. USOVICZ, JR. FAX 978-745-0343 MAYOR W W W.SALEM.COM JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#754-05 DATE ISSUED: 12/5/05 Property Located at: 16 Gardner Street UNIT#2 Owner/Agent: Mary J. Scialdoni Address: 225 Lafayette 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 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 V Lam-'NKK-C� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS trr---� BOARD OF HEALTH r� • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVtCZ, JR. ,JOANNE SCOTT, MPH, R5, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT /( <51L. UNIT u c� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE � >�/ OWNERILESSER 1nQr�/ ./ Q/([O� / MANAGER/AGENT Cdr/(L/"(` 's�ju/UQnI No P.O. Box /} No P.O.Box ADDRES`S_225_&,V_e CITY /If/?'1! IWA .. _CITY 5alej�Jj�_... RESIDENCE PHONEl_7 ''y 9q __BUSINESS PHONE (24 HRS,), ,--- BUSINESS RS.). ,___BUSINESS PHONE TOTAL NUMBER OF ROOMS: /D /Vl 5 ROOM USE: 1. /(Q(L 2. 3./N �r�e117 q � 11(UUO� 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 '-'�+L "•Q�l,L —DATE_ t INSPECTORS USE ONLY DATE OF INITIAL INSPECTION _ /, -05_ _DATE OF REINSPECTION,,, _ , DATE OF ISSUANCE OE CERTIFICATE/a�,5.005_ D.ATF FEE PAID TYPE OF UNIT DWELLING OTHER CHECK N _ CHECK DATE 1�0 �Q NOTEs: CODE ENFOHCEN4F_NT INSPECTOil dt28ts�t? ` CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ g 120 WASHINGTON STREET, 4TH FLOOR �t9 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVIC2, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#132-04 DATE ISSUED: 04/08/2004 Property Located at: 16 Gardner Street UNIT#3 Owner/Agent: Mary J. Scialdoni Address: 10 Lafayette Place City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5229 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. P;" HE BOARD OF ( &� t�'' tis'X„C.;a:w Q JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ' BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT iS THIS UNIT DESIGNATED AS RIGHT LEFTRF ONT BACK PLEASE CIRCLE ONE OWNERILESSER M RU f"S�jA�avN i ANAG GEN No P.O. Box -- �(}/� No Ox ADDRESS_/D 4,4F�.�a> icy- ADDRESS CITY CITY RESIDENCE PHONE M-2q(k7 VY9 BUSINESS PHONE (24 HRS.) BUSINESS PHONE- TOTAL NUMBER OF ROOMS: HONETOTALNUMBEROFROOMS: J _ L ROOM USE: 1._) L(Q ._2. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA TH DEPART NT TH FEE IS PAYABLE ATT E TIME OF INSPECTION. APPLICANTS SIGNATURE _DATEcy � � INSPECTORS USE ONLY DATE OF INITIAL INSPECTION J .}� V `�, DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:=J 'd `"I DATE FEE PAID:_ ''K_�d TYPE OF UNIT: DWEtLiN/�/ OTHER._ CHECK# IK3� CHECK DATE _ d. NOTES: _. CODE ENFORCEMENT INSPECTOR 9(28198 u CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR Y SALEM, MA 01970 �� TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/09/2002 Brendons Future Trust 55 Raymond Road Salem, MA 01970 PROPERTY LOCATED AT 17 Gardner Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. THE BOWDO .HEALTH REPLY TO qR anne ScoH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR r 0 +� e CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 02/29/2000 Fax:(978)740-9705 Brendons Future Trust c/o Richard Walsh, Trustee 55 Raymond Road Salem, MA 01970 PROPERTY LOCATED AT 17 Gardner Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with„Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness,” each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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. JOR ARD ,CH REPLY TO oanne o PH, CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR rr�" CITY OF SALEM, MASSACHUSETTS. �" • BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR CERT.# 137-02 . SALEM, MA 01970 FEE $25.00 TEL. 978-74 1-1800 �4,y„� DATE: 03/14/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 17 Gardner Street UNIT #: 2 OWNER/AGENT: Brendons Future Trust c/o Richard Walsh ADDRESS: 55 Raymond Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 337-0210 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. I FOR THE BOARD OF HEALTH �(s SCOTT, M 0 J i HEALTH AGENT CODE ENFORCEMENT INSPECTOR �F CITY OF SALEM, MASSACHUSETTS ' BOARD OF;HEALTH * 120 WASHINGTON STREET, 4TH FLOOR / a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT ? (Y4/^do rr Jfi UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRC/LE yO(�NE OWNEWLESSER DA eu dert,'g Fyfur, )Hus'� MANAGER/AGENT No P.O. Box r / No P.O. Box ADDRESrS S S A4 ADDRESS CITY__`: ctoy. /fit /401 r7' 7 U ' - CITY RESIDENCE PHONE YS' ' BUSINESS PHONE (24 HRS.) g7R ' 337' L v BUSINESS PHONE TOTAL NUMBER OF, ROOMS: J� ROOM USE:;1 ` L R 2. ..'N 3 "� 4. 10 W , 5 W fi* 7: 1- 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTWDEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF,INSPECTION. APPLICANTS SIGNATUREG� 1`z z DATE //�C2 L ff INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3 -/ f - ' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -1 q-6 L DATE FEE PAID: l '- TYPE OF UNIT: DWELLINHER CHECK# �b 6 CHECK DATES Z NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 • i I� y Al, ,fi ..It" T I'� '.Ad�Y§e• ^u'. 4i.}ST":'f'g'{ .*Y °9 ,,.#..,F.a ffiA^;yk,};�, 5; �' 1.',k Id- ^y: 1 $ a 3 I co Y yr SALEM, MASSACHUSETTS vQ BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. MPH, RS, CHO MAYOR HEALTH AGENT 02/11/2002 Brendons Future Trust c/o Richard Walsh S5 Raymond Road Salem, MA 01970 i PROPERTY LOCATED AT 17 Gardner Street 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. i 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 fineofTwenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial ! occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD 9f HEALTH REPLY TO oanne Sco MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS ,j BOARD OF HEALTH m $) 720 WASHINGTON STREET, 4TH FLOOR CERT.# 256-03 o SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/30/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 17 Gardner Street UNIT #: 2 Left OWNER/AGENT: Brendons Future Trust c/o Dana Lothrop ADDRESS: 55 Raymond Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 337-9210 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE - INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH 96 , av JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH a3 • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR 4HUMAN HABITATION". PROPERTY LOCATED AT UNIT# < IS THIS UNIT DESIGNATED AS RIGH LEF RONT BACK PLEASE CIRCLE ONE OWNER/LESSER7g !)Aho L)Anjpi MANAGER/AGENT No P.O. Box,,-,, p No P.O. Box ADDRESS_ J S /�4)/d�wrz� /� �iS ADDRESS CITY CITY RESIDENCE PHONE ? 7s< �f�SS' BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. / 2. 3. 4. 5. . 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM EALTH DEP TMENT THIS FEE IS PAYAB4ATTTIME OF INSPECTION. APPLICANTS SIGNATURE DATE 3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION f- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S 30 0 3 DATE FEE PAID: TYPE OF UNIT: DWELLING /-,- THER_ CHECK# SS 3 CHECK DATE,4�x'6"3 7 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 i •' �o T CERT.# 107-99 FEE $25.00 DATE: 03/02/99 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: 17-19 Gardner Street UNIT #: 3 OWNER/AGENT: Kathleen Przydzial ADDRESS: 44 Green Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-5895 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 . FPR THE BOARD Oy HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR SEP 30 '98 01: 15 PM SALEM HEALTH .5087409705 Page 2 o � r CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOT T.MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410-000 Fax:(978)740-9705 'MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION*. PROPERTY LOCATED AT UNIT IS THIS UNIT DESIGNATED AS 4LRHJ LEFT FRONTBACK PLEASE CIRCLE ONE OWNER/LESSER 7 eed MANAGERMGENT .. . .No P.O. Boz No P.O. Box 6r ADDRESS (-� __-ADDRESS__-..___ _UZ �� Cep✓ CITY_ ._31't/V!/ _--///fT _CITY., RESIDENCE PHONE.//J)6_777 BUSINESS PHONE ; /(7J TJJ BUSINESS PHONE _ TOTAL NUMBER OF ROOMS: — ROOM USE: i"Y_. 2..b//Y/Aly 3./ 4. 5. _6.-- . . .. .�.. 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 INSPFCTION- APPLICANTS SIGNATURE _ DATE. E_ONLY DATE OF INITIAL INSPECTION 3 -1 -2 y DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATES-, 19 DATE FEE PAID- 3 - J I �/ if � J Py TYPE OF UNIT: DWELLING.X OTHER. CHECK CHECK DATE N01 ES:. \ CODE ENFORCEMENT INSPECTOR 9/28/98 vg�con�olr,�� s CERT.# 147-99 fi r l :9 FEE $25.00 DATE: 03/26/99 ��/MIN6110 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: 17-19 Gardner Street UNIT #: 4 OWNER/AGENT: Kathleen A. Przvdzial ADDRESS: 44 Green Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 777-5895 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 APPROVAI., 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 Joeo JOANNE SCOTT, MPH,RS,CHO ' HEALTH-`P:GENTCODE ENFORCEMENT INSPECTOR SEP, 9l198 01: 15 PM SALEM HEALTH +5087409705 Page 2 T CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tei:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 'MINIMUM STANDARDS OF FITNESS/FOR HUMANHABITATION". PROPERTY LOCATED AT �J .( �[{,er_s -UNIT a IS THIS UNIT DESIGNATED A IG LEFT FRONTBACK PLEASE CIRCLE ONE OWNER/LESSER/�"Mi, MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ,6t-eeej - CITY_ ...., iDYp/7VV� �7_ ,4 V��03 ..CITY.. RESIDENCE PHONE_ 7Fr/YJ BUSINESS PHONE (24 HRS.) BUSINESS PHONE, TOTAL NUMBER OF ROOMS: _ ROOM USE: 12.,6�/61( 3.S7/� _ 4. /TJ 5.J V 6,6A7t _7.. 8. - - ----- THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H ALTH DEPART NT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _ Z(�Qtn�!� iK �L _DATE.v�97 9 9 DATE OF INITIAL INSPECTION 3'1�p_q DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:!. '26 t DATE FEE PAID ... TYPE OF UNITDWELLING OTHER. , CHECK ri, Ia 5....—_CHECK DATE 3- oZ NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 0"N t City of Salem, Massachusetts 1✓� ,i Board of Health We 120 Washington Street, 4th Floor, Salem, lubliCIIenith MA 01970 Preo<nt.Promote. Proteet. 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-17-348 DATE ISSUED: 10/16/2017 Property Located at: 18 GARDNER STREET UNIT#1 Owner/Agent: Wladyslaw T. Stolarz Address: 10 Madeline Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7446226 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 0/4/17 • CITY OF SALEM, MASSACHUSETTS a BOARD of HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR i.RAMQ1 @SALEM a0M 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� ) Cm4AC i `S 1{ UNIT# t IS THIS UNIT DISIGNATED AS RIGHT LEE(FRO R BACK,PLEASE CIRCLE ONE OWNER/LESSER W(4&S10Q MANAGER/AGENT NO P.O.BOX ADDRESS 10 04C, ADDRESS CITY,STATE,ZIP Sal CMI (1A 01170 CITY,STATE,ZIP RESIDENCE PHONE97J- 7t'ILI- LL6 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1. 13C Lrw m 2. 2 eA,'W wl 3. 131&vJm 4, L) \Syz 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 14EALTH THIS FEE IS PAYABLE AT THE TIME OFSPECTION APPLICANT'S SIGNATURE C& S4DATE /0-/2-/77Z Lectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# —Ch'ecck�datte: r Notes: Lite I I L�co � Code Enforcement Inspector City of Salem, Massachusetts lu Board of Health n 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-195 DATE ISSUED: 6/3/2016 Property Located at: 18 GARDNER STREET UNIT#)0 Owner/Agent: Wladyslaw T. Stolarz Address: 10 Madeline Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7446226 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 ffr Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN r CITY OF SALEM, MASSACHUSETTS V w BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Immdin()salem com LARRY RAMDYN,MAWS,CHo,CP-F' ' MAYOR' HEAL7N 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 ` (J ��I'OIYI eAr �g7H►STpISIGNATEDpgLEFTt�ORDIGC PLEASE CIRCLE ONE OWNEWIMSER MANAGER/AGENT NO P.O BOX ADDRESS DRESS n AD I:D��X i'�'l-� �� <'/✓t'� CITY, STATE,Z1P p/ OL'-fo/21r� CITY,STATE,ZIP � Pi/�i� RESIDENCE PHONE f 7��7 6 BUSINESS PHONE(2411RS) 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 ISSPAYABLE T TIME OF INSPECTION APPLICANT'S SIGNATURE �t.c/� � �2 Insoedors use only Date on initial inspection:0610112-n" Date of reinspection: Date of issuance of certificate. 0 0 L Date fee paid:W014DIL Type of unit: Dweflinq Other e 0k#L04Y" 68 Checkdate: ar 2 Notes: B r Carbon o aC ( f�' r n.i. hcj- ln!' cf wl v S �� eIIt eCtOr v��COP1UfT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT Tel:(978)741-1800 05/29/2001 Fax: (978)740-9705 i Henry & Kathleen Przydzial 44 Green Street Danvers, MA 01923 PROPERTY LOCATED AT 19 Gardner Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 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 0 HEAL H REPLY TO anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ;oo CITY OF SALEM9 MASSACHUSETTS g� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#517-05 DATE ISSUED: 8/16/05 Property Located at: 21 Gardner Street UNIT# 1 Owner/Agent: John Keane Address: 212 Humphrey Street City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone: 781-599-9811 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT 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 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER `1 � 'C ( F* Q MANAGER/AGENT— No P.O. BoxII � No P.O. Box ADDRESS 2-{2- tV� ADDRESS _. CITY_ � Y'Y, . p `0 �A -CITY------C RESIDENCE PHONE') 55 -� Q3(I BUSINESS PHONE (24 HRS.) 7& �t(� BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1._ L_2 2.-ALL _3.. 'L _4 -�— 5. 4`� k6--7._8,-,-- THERE . a. -- 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. l�(� APPLICANTS SIGNATURE �41 - ,oYDAT E_ / -� �//SPECTORS USE ONLY ( DATE OF INITIAL INSPECTION _p_ t DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE '_�_�__ . __DATE FEE PAID TYPE OF UNIT: DWELL IpdO OTHER CHECK 4, 3 3 _ OHF-(;K DATE '/ N NOTES: 1\ CODE ENFORCEMENT INSPECTOR 9/28/98 IMPORTANT MESSAGE FOR DATE TIME TIME M 9 OF rpt •.� PHONE AREA CODE NUMBER EXTENSION LI FAX ❑ MOBILE AREA COO E >111,BER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CAL WILL FAX TO YOU MESSAGE dZ SIGNED ��( FORM 40❑ . MADE IN U.S.A. :y �oanrr vQ� 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 04/03/2001 John R. Nelson P.O. Box 173 Danvers, MA 01923 PROPERTY LOCATED AT 21 GardnerStreetUNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. - A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants- entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. THE BOARD HE, H_ REPLY TO JR anne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ♦ a CERT.# 92-00 1jI�P FEE -$25.00 DATE: 02/08/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 22 Gardner Street UNIT #: 1 OWNER/AGENT: 22 Gardner Trust ADDRESS: 11A Puritan Road CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 595-6965 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 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 Tel:(978)741-1800 Fu:(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 l` )GAY 64Q4 UNIT d IS THIS UNIT DESIGNATEDI __AS, IVURIGHT!LEFT FRONT BACK PL CIRCLE ONE OWNER/LESSER 6t�' I -L MANAGER/AGENT G�%(� ull No P.O. Box 1 \n No P.O. Box ADDRESS I\ A . ADDRESS l Q CITY CITY " RESIDENCE PHONE��(S`I �CI(a BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:11,, ROOM USE: 1.V-t 2. _3. V 4. /1 k," . 5.. &-P �6. &eA_7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH ARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. I APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION :2 -R -D O DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -B -n <2 DATE FEE PAID: ;2 TYPE OF UNIT: DWELLING OTHER_ CHECK#/?a tf 3. CHECK DATE —4— 0 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 1 4 R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741.1800 01/31/2000 Fax:(978)740-9705 Gardner Street Nominee Trust c/o Zaher Bdiwi, Trustee P.O. Box 425 i Danvers, MA 01923 f I PROPERTY LOCATED AT 22 Gardner Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article %III 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 410.0001 State Sanitary Code, Chapter I1: 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 I 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 ' i a.m. - 4:00 p.m. i 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 I utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD 9f HEALTH - REPLY TO oanne Sco t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR i i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/3/05 Gardner Street Nominee Trust 196 Ocean Street#1 Lynn, MA 01902 PROPERTY LOCATED AT 22 Gardner Street 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 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For a Board of Health Reply to Joa'hne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 'Tt CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ' e e 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 5/9/05 Gardner Street Nominee Trust 196 Ocean Street#1 Lynn, MA 01902 PROPERTY LOCATED AT 22 Gardner Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m.—4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. Fdjhe Board of Healt Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector w CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 1/25/05 Gardner Street Nominee Trust 196 Ocean Street#1 Lynn, MAO 1902 PROPERTY LOCATED AT 22 Gardner Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For he Board of Health/ Reply to J nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector i CERT.# 150-98 3 A FEE $25.00 lJI�F� DATE: 03/19/98 YRB 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: 23 Gardner Street UNIT #: 3 OWNER/AGENT: Richard Dionne ADDRESS: 23 Gardner Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 744-6209 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 'o YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIOON". PROPERTY LOCATED AT d 3 g ' _UNIT � �3 OWNER/LESSER MANAGER/AGENT ADDRESS S:,:-� ADDRESS CITY CITY _ RESIDENCE PHONE_ T2 - l-6 a Y BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE TOTAL NUMBER OF ROOMS: 13 ROOM USE: 2. ./314 3._ 4 . 64 5. G. 7. 8. THERE IS A TWENTY—FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE /� �d DATE_ lvl�i LNSPEc,rORS USE ONLY DATE OF INITIAL INSPECTION: r, --ql DATE OF REINSPECTION G _ DATE OF ISSUANCE OF CERTIFICATE: %�' (. �� tS DATE FEE PAID: TYPE OF UNIT: DWELLING- OTHER __ NOTES sQ ,y A�2v S'cA�✓+_a �o.� CODE ENFORCEMENT INSPECTOR 6 . CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, is/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized aliens from any loss or injury sustained of whatever nature and description occa.sioneo by my/our absence during said inspection. I TEPI ` /LE O RO l/i - -- ------ a3E �i3ss s ADDR F UNIT TO BE INISPECTFD ^;TE r v��00N�IT� 9��MM600 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO 120 Washington Street HEALTH AGENT Tel: (978) 741-1800 08/01/2001 Fax:(978)745-0343 Michael McGinn L Thomas McGinn, Jr. 12 Winter Street Merrimac, MA 01860 PROPERTY LOCATED AT 26 Gardner Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4:00 p.m. - Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25 .00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOXtM"PH,RS.,CHO HE TH REPLY TO Joanne Sco PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS + . BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR totoNNrna Sey.EbTCOM JANF;T DIONN V ACTING HEAL17-I.AGENT CERTIFICATE OF FITNESS CERTIFICATE#515-08 DATE ISSUED: 10/14/2008 Property Located at: 26 Gardner Street UNIT#2 Owner/Agent: John Keane Address: 212 Humphrey Street City/Town: Swamspott, MA Zip Code: 01907 24 Hour Phone: 627=407-2728 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 HE BOAR O HEALTH f 7� J ET RTONNE ACTING HEALTH AGENT CODE ENF tEME1 INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4r"FLOOR TEL. (978)741-1800 KIMBERL EY DRISCOLL FAX(978)745-0343 MAYOR jQ1QNN1 C&tJ LM.CONI JANEP 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 Z L ( ar IR�r{-.y� r�Y ' C7 UNIT# _,_ IS THIS UNIT DisiGNATED AS RIGHT LEFT FRONT OR SACK PLEASE CIRCLE ONE OWNER/LESSER l�� MANAGER/AGENT NO P.O.BOX ADDRESS 2(`2— ADDRESS CITY,STATE,ZIP CITY,STATE,ZIP J { 00 q 01 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 4.—t 3. r 4. rZr- 5. r- 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE - : DATE l (f Inspectors use only Date on initial inspection: to -14 -u$' Date of reinspection: Date of issuance of certificate: 10-14,0'k Date fee paid: k''i 4- a 8 Type of unit: Dwcllin f Othcr Check# Y yp g �; -�tt Check date: b -i 3-o k Notes: 'goT'Cbo«..of h raa11 Oodll �7wdi Oti, laNo, ,�,tai` oY 'Rgt2,n.�cF'r STQ AJ ode Enforcement Insp tar CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH IV 120 WASHINGTON STREET 41N FLOOR �b�IC�CA I'th ' > Prevent.Promote.Yralea. (978) 741-1800 EAS; (978) 745-0343 KIMBERLEYDRISCOLL 1lamdin ,salem.com LARRY 1tAMD7N,RS/REHS,C1 10,CP-FS MAYOR HI7.AI:I'I'I AGENT CERTIFICATE OF FITNESS CERTIFICATE #429-12 DATE ISSUED: 10/26/2012 Property Located at: 30 Gardner Street UNIT#2 Owner/Agent: Gerald D'Avolio Address: 9 Lansing Avenue City/Town: Haverhill, MA Zip Code: 01832 24 Hour Phone: 781-640-9094 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 LAA DIN HEALTH AGENT SANITARTAV Y f CITY OF SALEM, MASSACHUSETTS BOARD OF HF-ALTH 120 WASHINGTON STREET,4".FLOOR Public Health Prevent Promote.P,01a 1. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEYDRISCOLL traindin@salem.com MAYOR LAILRY RATv11>IN,l2S/R1?FIS,(1110,CP-1'+S HF?AL:Pfl AGI,.NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT ,)a,4U , I UNIT#-� IS THIS UNIT DISIGNATTED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Ger-4 `� /� 'af� MANAGER/AGENT NO P.O. BOX / ADDRESS vr�EIg, ADDRESS CITY, STATE,ZIP rF./�. _J�( dl��o CITY, STATE, ZIP RESIDENCE PHONEZV `(`/D-SD g BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. /JL'/L' 2. 6ej 3. 4. X-F�- 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 DATE/v I rs use only Date on initial inspection: /a4 Date of reinspection: Date of issuance of certificate: q Date fee paid: , Type of unit: DweffL-) j#' Dwelling------Other Check# / I Cheekdate: Notes:44 ( -'I;T" k 3X ---ut A un o b • (00-130'o f O11Jv Y e Yn (( b�-)i6't� <'+C rs Code Epforcement In �gVtor 101221.2 *INI TY Connect XFINITY Connect jdconsufting@comcast.net +Font Size- Authorization of Gerald D'Avolio From :Michael D'Avolio<lifechanges86@hotmail.com> Mon, Oct 22, 2012 05:57 PM Subject:Authonzation of Gerald D'Avol'io To:jdconsuking@comcast.net I Michael D'Avolb give Gerald D'Avol'io and the Salem Board of health authorization to enter my unit at 30 Gardner St while I am absent on 10/24/12. Michael Q'Avolio web.mail.comeast.netlambralh/pdntmessage?id=594418&isAmerica/New_York&xim=1 1l1