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GLENDALE STREET , CITY OF SALEM, MASSACHUSETTS �f BOARD Or 1-Ii AFM spa 120 WASHINGTON Sl Itl 8T>41° FLOOR (975) 741-1500 IQMB13R1:13Y DRISCOLL, F,\X(975) 745-0343 MAYOR DGR HF.NBAUM r�i SALFALCOM DAVID GRI i1.N BA U\'I,RS AC'CING HHAI.II I AGRN'I' CERTIFICATE OF FITNESS CERTIFICATE#548-10 DATE ISSUED: 11/23/2010 Property Located at: 6 Glendale Street UNIT# 1 Owner/Agent: Marie a Ie Ga9 non Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 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 ,HEALTH ` v DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 0--L/S'j V BOARD OF HEALTH 120 WASHINGTON STREET,4'" FLOOR 'fEL. (978) 741-1800 I IMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRELN11AUM2SALEM.COM DAVID GREENP,.AUM,RS 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: $50.00 PROPERTY LOCATED AT ���^ � ��`�yT �� UNIT#, IS THIS UNIT DISIGNATED AS RIG W LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSERt:S, -'+mac_ C-Y--AC J� MANAGER/AGENT NO P.O. BOX ADDRESS—F ADDRESS CITY, STATE,ZIP'Tt9SM4 DNgRI CITY, STATE,ZIP RESIDENCE PHONE �1$ -88't - $8S b BUSINESS PHONE(24HRS) 1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE: 1.` rT O 2. 921-M 3. � 4.X'9TOWXY-�- 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURF� DATE 1 �1 J Inspectors use only Date on initial inspection: )0 /0 Date of reinspection: Date of issuance of certificate: // k3ho Date fee paid: I 1a 3 Type of unit: DwellingV Other Check# ',3 /7 Check date: l/ d 3 h U Notes: Cod Enfor ement Inspector TRANSMISSION VERIFICATION REPORT TIME 11/28/2010 23:37 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 11/28 23: 36 FAX NO./NAME 919784539150 PAGE(S) DURATION 02:00:24 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HF-Ltxj-i 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KIM ERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRI lCNBAUMGsN Fm.COM DAVID GRP.rNIi;\um ACTING HB,AI:I'I I ACfSN'I' Facsimile Transmittal To: C—�" " I �lt l �lle-- Fax # g TZ q 3 9156 RE: 14ena T-1 +ail Date : // I ZZ 9 /) U Page(s): including this cover# Message: Ps- Board of Health News ---------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON HENRY T. GAGNON REALTY P.O. BOX 431 TOPSFIELD, MASSACHUSETTS 01983-1613 « Sa e-1s3 • 7c CITY OF SALEM, MASSACHUSETTS r • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUM@SALEM.COM DAvu)GREu NBAUM ACTING Hu'j LH I AGr:',N"r CERTIFICATE OF FITNESS CERTIFICATE#424-09 DATE ISSUED: 8/14/2009 Property Located at: 6 Glendale Street UNIT#2 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 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 D 0 F HEALTH I DAVID GREENBAUM ACTING HEALTH AGENT CODE E 0 EMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS Vp q-69 • a BOARD OF HEALTH 120 WASHING'T'ON S1'RF_FT,4°1 FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR oGRFFNBAUNT@SA1.Ia1.COM DAVID GREENBAUM, R } ACTING HF1LTH AGFNT ^ 'AUG 21 Wo Application for Certificate of Fitness `'' Y ooF V-1 o .�'� IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 1?, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT IO '�_% UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER M,W1xC-. Cr 4L--.z O-�,� MANAGER/AGENT NO P.O. BOX ADDRESS L Al ADDRESS CITY, STATE, ZIP`--) 09S' � 1 -\%4 c7 +\TS CITY, STATE,ZIP RESIDENCE PHONE Qn S- S8 — &8S' BUSINESS PHONE(24HRS) / BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. VC'M4%e 2. L-�sr - 3.1->wNV6,_ 4. S*3�o 5.+ 7 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE y DATE 1 IZ D 4 J / Inspectors use only Date on initial inspection: (� //G // Date of reinspection: Date of issuance of certificate: //L/(G Date fee paid: 8, d 7/ E1 Type of unit: Dwelling V Other Check# 6t{ Check date: %J�bjaij Notes: LV / Code Enforcement spect CITY OF SALEMI, MASSACHUSETTS a : BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR , e SALEM, MA 01970 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#710-05 DATE ISSUED: 11/22/05 Property Located at: 8 Glendale Street UNIT# 1st floor Owner/Agent: Marie Gagnon Address: 16 Lockwood Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OFF HEA r �` �J fie C� � (///�/ JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR `W'MINB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741.1800 APPLICATION FOR CERTIFICATE OF FITNESS. 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 9 C—/,e 44 Q ! S� �t�2irUNIT# !S / I . � IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER !!W CgX-E C ,'t� MANAGER/AGENT - - ADDRESSk%--j DDRESS CITY'+OPS�e�,'c� "ti+lY�- CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) 15�, BUSINESS PHONE Cn V, -- '�MZ - &RS6 TOTAL NUMBER-OF ROOMS: ROOM USE: 2.1,jf U 3.1 1014. 6P 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATU �G« Ppm �� �. DATE INSPECTORS �1 ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:,�/_-k?_ J'ATE FEE PAID: j/-2- z a �� TYPE OF UNIT: DWELLING OTHER NOTES: 0Y _ Nay 8 e a9�b CODE ENFORCEMENT INSPECTOR QTY OF SALEM 5/19/98 BOARD OF HEALTH wND � City of Salem, Massachusetts a Board of Health r 120 Washington Street, 4th Floor, Salem, Prevent-Promo MA 01970 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-16-343 DATE ISSUED: 9/6/2016 Property Located at: 8 GLENDALE STREET UNIT#2 Owner/Agent: Marie Gagnon Address: 8 Cleary Lane CityfTown: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978) 884-8856 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. WJe Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS � "� BOARD ON H EALTFI x 120 WASHINGTON ST1tEE'r,4"'FLOOR ' TEL.(978)741-1800 KIMBERLEY DRISCOL ? OrL7�}��1 FAx (978)745-0343 MAYOR C ��N Rlaarnv aIsAI rNr oar LARRF R,,WDIN, RS/REI iS,(110j.)iP H&%uni 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 YI c, UNIT# IS THIS UNIT DISIGNATED AS IR GHT LE LEFT FRONT OR BACK,PLEASE CIRCONE OWNER/LESSER Marie Gagnon MANAGER/AGENT NO P.O.Box ADDRESS 8 Cleary Lane ADDRESS CITY, STATE,ZIP Topsfield Ma 01983 CITY,STATE,ZIP RESIDENCE PHONE 978-887-8856 BUSINESS PHONE(24HRS) BUSINESS PHONE 978-887-8856 TOTAL NUMBER OF ROOMS: .— ROOM USE: 3 i.;SX> 4 F>'�y 5 b 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 Inspectors use only Date on initial inspection: Date of reinspection; Date of issuance of certificate: _ 61, _z Date fee paid: d0g17 Type of unit: Dwellin Other Check# /�1330� Check date: & 5Da Notes: C*eq ment In ector l ¢ CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4"FLOOR PLib1lCHee Ith f Prevent.Promote.Protect. TIEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL 1lamdiri@salem.com LARRY 12;\bDIN,RS/RI3rIS,CI 10,CP-FS MAYOR HEAI;ff 1 AGENT CERTIFICATE OF FITNESS CERTIFICATE #133-14 DATE ISSUED: 4/24/2014 Property Located at: 8 Glendale Street UNIT#2 Left Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8856 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 VY LAR MDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS + . BOARD OF HEALTH l 120 WASHINr PON STREET `FLOOR Tr '978) 741-1' KIMBERLEY DRISCOLL F (978) 745-1 MAYOR DGR` , 1BAUM SA, .OM 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 'b SUUNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX ADDRESS ADDRESS CITY, STATE,ZIP CITY,�— CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 75- ROOM ROOM USE: 1. 3. '9nJ 4. L-✓ 5. � 6. 7. r 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 J —� 'TE y IZ'L� �I �p Inspectors use only Date on initial inspection: 7- Z-°1�-) 1 Date of reinspection: Date of issuance of certificate: �-z.u1 -1ul Date fee paid:,' l 2,4A Type of unit: Dwelling � Other Check#�31�21 ..Checkdate: 2 l 7 Notes: &K Enforcement Inspec r s CERT.# 37-97 3 FEE $25.00 - l�! it DATE: 01/27/97 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 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 11 Glendale Street UNIT #: 1 CC,,'NER/AGENT: Joser,h & Victoria Zalewski ADDRESS: 11 Glendale Street CITY/TOWN:- Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7401 AN INSPECTION OF YOUR `.7AC.ANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND 'S IN COMPLIANCE WITH 105 CMR 410.000 : MA.SSACHITSETTS 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 -r.ITNESS 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 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 HABITATION". PROPERTY LOCATED AT .1� T # — i - I OWNER/LESSER / NAGER/AGENT ADDRESS ADDRESS CITY C / CITY _ RESIDENCE PHONE O / BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: Lea ROOM USE: 12. 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 HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION q APPLICANTS SIGNA DATE oZ7 / INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: — 4 / DATE OF REINSPECTION G_ DATE OF ISSUANCE OF CERTIFICATE: ��U 7 7 DATE FEE PAID: r 2 �( 7 TYPE OF UNIT: DWELLING OTHER NOTES: A CODE ENFORCEMENT INSPECTOR To " AM ' Date g�so Time 1�.d5 ❑ PM WHILE YOU WERE OUT M (zC�le> , QXQc,u-d_�a of Phone C_) Area Code N robot Extension TELEPHONED PLEASE CALL CALLED TOSEEYOU WILLCALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message GAO If a, .t Operator AMPAD REORDER ®EFFICIENCY® S23�000 F Y M1 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 09/26/96 Fax:(508)740-9705 11 Glendale Street Trust, Wanda Zalewski 11 Glendale Street Salem, MA 01970 PROPERTY LOCATED AT 11 Glendale 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. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; 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, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY. Very truly yours, F THE BOARD OF REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS a + BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll www-SALEM.COM Mayor JOANNE SCOTT, MPH, AS, CHO HEALTH AGENT 2(6106 Robert& Carol Amadeo 15 Glendale Street#1 Salem, MA 01970 PROPERTY LOCATED AT 15 Glendale 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 the Boardof Hof H a� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector M � .gONU1T CERT.# 167-01 FEE $25.00 DATE: 04/05/2001 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: 15 Glendale Street UNIT #: 3 OWNER/AGENT: Carol Amadeo ADDRESS: 15 Glendale Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE:- 745-0831 a 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 _ r JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR G f p 4 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 /i~ tf ✓tom S-?,( _UNIT#- IS THIS UNIT DESIG TED AS I T LEFTFON A K PLEASE CIRCLE ONE OWNER/LESSER- MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS SA� 4/h tr j ADDRESS CITY CITY RESIDENCE PHONE �79Qf3Z BUSINESS PHONE (24 HRS.) BUSINESS PHONE 2yk)-1/3 7 TOTAL NUMBER OF ROOMS:__ ROOM USE: 1. ✓ 2. 3. 4. v^' 5.— THERE IS A TWENTY-FIVE($26.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPART ENT THIS FEE IS PAYABLE AT THE , TIME OF INSPECTION. APPLICANTS SIGNATURE ?G DATE—*5 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION l S �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 'u DATE FEE PAID;!] ' y TYPE OF UNIT: DWELLIN OTHER_ CHECK# // 00 CHECK DATE q-'_-Vf NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98