GRANT ROAD d �P CF'I'Y OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4t't FLOOR1'ublicHet
Prcvene.Promote.pmProtect.m
TEL. (978) 741-1800 FAX(978) 745-0343
KIMBERLEY DRISCOLL Itamdin@salem.com
LARRY ltANIDIN,RS/REHS,CHO,CP-FS
MAYOR
HE Al:n i AG F,NT
CERTIFICATE OF FITNESS
CERTIFICATE#280-13
DATE ISSUED: 8/13/2013
Property Located at: 1 Grant Road UNIT# 1
Owner/Agent: Wayne Newcomb
Address: 244 High Street
City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-853-0472
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.
FO TH BOA F HEALTH
LARRY RAMDIN
HEALTH AGENT SANITARIAN
i
CITY OF SALEM,MASSACHUSETTS
BOARD oFHEALTH C� "
120 WASHINGTON STREET,4"'FLOORrro�„a ,
TEL.(978)741-1800 FAX(918)745-0343
KIMBERLEY DRISCOLL hamdia( alemxom
MAYOR LARRY RAMDIN,RS/RENS,CHO,CP-FS
HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
'W INIM M STANDARDS OF FITNESS FOR HUMAN HABITATION'
FEE`. $50./00
PROPERTY LOCATED AT / ( 7 R ig h/T (7! UNIT#
111S THIS UNIT I)WdtiATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE
OWNER/LESSERC W Cowlc> MANAGER/AGENT
NO P.O..BOX 1 i� 1
ADDRESS 01 7 7 /Oa q 57- ADDRESS
CITY,STATE,ZIP STATE,ZIP_P2 _,(Z�
RESIDENCE PHONE 9 �7 la�a BUSINESS PHONE(24HRS)�7� ri c� 7q7
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. L2. b3. IM 4. bR 5.k',rGHE"w
6. 7. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYAB E BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE A THE TIME OF INSPECTION
APPLICANT'S SIGNATURE DATE
Insoectots use only
Date on initial inspection: '13 Date of reinspection
Date of issuance of certificate: —1"1 Date fee paid:
Typeofunit: Dwellinf,�Othes Check# 333 Check&te:
Notes:
ode Enforcement inspector
.ti
CERT.# 626-97
FEE $25.00
,f- DATE: 09/09/97
�Y,yR,B
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: 5 Grant Road UNIT #: 1 1/2
OWNER/AGENT: Elsie St. Laurent
ADDRESS: 5 Grant Road
CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 744-3946
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 O
qv_g"G"�/01)�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
r
A
3 ,
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".
�»- J� i j t
PROPERTY LOCATED AT
�l l Y �1 �. Q- UNIT # ' N �
OWNER{ R ! !F h La u r P 77/, MANAeE V ACENT^
ADDRESS,2 a ADDRESS �f
CITY / CITY �
RESIDENCE PHONE_ WJE C) BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4 . IR
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 DEPARTME ,�fi3S FEE PA/��yL'E AT THE TI29E OF INSPECTION
APPLICANTS SIG
NATURE ��"ttf;
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:--? � -_ DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: 7 DATE FEE PAID: ? ' 7
TYPE OF UNIT, DWELLING OTHER
j -
NOTES:
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970--3928
JOANNE SCOTT,MPH,RS,CHO L AQ, � NINE NORTH STREET
HEALTH AGENT �')� f.�" •,a• 7U{ / Tel:(508)741-1800
Date: 06/17/96 1 q��V'-r q)',,/� 9p Fax:(508)740-9705
y� b
Elsie St. Laurent
5 Grant Road
Salem, MA 01970
PROPERTY LOCATED AT 5 Grant Road UNIT # 2
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,
FOR THE BOARD OF HEALTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HF.ALTIi
120 WASHINGTON STREPT 4°i FLOOR
KIMBERI,EY DRTSCOIJ, T"HL. (978)741-1800
MAYORFAx,(978)745-0343
]ram(fl I Iem.Gom
L,vRRY RAMD1N,RS/RI?t IS,CI U),CP-VS
1-II1,AI;11i AG l?N,r
CERTIFICATE OF FITNESS
CERTIFICATE#532-11
DATE ISSUED: 12/29/2011
Property Located at: 5 Grant Road UNIT#2
Owner/Agent: Gary Pierce
Address: 9 Oakview Avenue
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-6571
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 viith 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
LARRY M
HEALT AGENT C E ENFORCE SPECT R
CITY OF SALEM, MASSACHPSE1"I'S
13f.)ARI'.)N I- EEE,4
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TFi— (978) 741-1800
l ltv[13JjUS.,'Y DRISCOLL � FAX(978) 745-0343
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1-1i•m:ijl A(; iN*r
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT---S �� ,q T AL' UNIT# Z
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE,CIRCLE ONE
OWNER/LESSER SAX� Pl E Zoe- MANAGER/AGENT
NO P.O. BOX
ADDRESS C *,ylem) Ave, ADDRESS
CITY, STATE,ZIP SBL 112 " CITY,STATE,ZIP f� L11976
RESIDENCE PHONE J 7 4/ jai— BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1 /t+' 2 78,- 3 � 4 Gt r/f�1 q 5.
6. 7. 8. 4. — 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 (� c
Inspeectors use only
Date on initial inspection: _cat 9 111 Date of reinspection:
Date of issuance of certificate: Date fee paid:
Type of unit: Dwelling Other Check#`�L Check date: J I h
Notes:
Code EWrdQpAent Inspector