GREEN STREET ;co CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
�o SALEM, MA 01970
y� •" TEL. 978-741-1800
FAX 978-745-0343
STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
7/28/05
Desrocher Family Realty Trust
3 Green Street
Salem, MA 01970
PROPERTY LOCATED AT 1 Green 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 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 Board of Health Reply to
JZ/�`�7.�'/-'/CHIC-C�
ne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector
.�o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
- /- 120 WASHINGTON STREET, 4TH FLOOR
f o 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# 502-05
DATE ISSUED: 8/8/05
Property Located at: 1 Green Street UNIT# 1 R
Owner/Agent: Meralda Desirocher
Address: 3 Green Street
City/Town: Salem, MA Zip Cade: 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
'14 �t V
JOAN EMPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
' CITY OF SALEM, MASSACHUSETTS
' BOARD OF HEALTH
• • 120 WASHINGTON STREET, 4TH FLOOR Jb�
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 FOOR' HUMAN HABITATION".
PROPERTY LOCATED AT / �iL�1�✓ b/� UNIT#�
IS THIS UNIT DESIGNATED A RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER <//f,'52!SF //r�ANAGER/AGENT
No P.O. Box No P.O. Box
ADDRESS J�J' E� Ste- ADDRESS
CITY �0 CITY
RESIDENCE PHON USINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. �2. 3. 4.
5._ �� 6. 7. 8.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE!s —DATE r3�
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION S( 3 y _ _DATE OF REINSPECTION_____
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_SL-_3��J
TYPE OF UNIT: DWELLING
,OTHER__ CHECK #/7,0 CHECK DATES7�_3_::7y) j
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CFTY OF SALEM, IMASSACH SE'A'TS
BOARD OF HEALTH
120 WASHINGTON STREET,4n4FLOOR
1 (978}74L-1800
KIMBERLEY DRISCOLL FAZ(978)745-0343
MAYOR JMANC1Nl SAI,ILM.COM
JAN@:T MANCINI
ACTING HEALTH AGENT
CERTIFICATE OF FF7SS
II
CERTIFICATE#165-09
DATE-ISSUED* V2719009
Property Located at: 2 Green Street UNIT#
Owner/Agent: ouri
Address: 4 Green SSI treet
City/Town: Salem, MA-Z W4de:.-01970 24 one:
i
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved
and is is cemplianse wiih105 CAA1341 _Code.C"er ll"
Minimum Standards of Fitness for Human Habitation".
Therefore,-thia�.isissued by-the Code rnforoempnt niukinn of the_Salew.Board of
Health and the unit may now be rented and/or occupied.
Maximunvt4umber- with.105-CDA"000.
Certificate valid for one year from date of issuance or until the current tenant vacates,whichever
it later.
TkusCekifasateeUFitaessisvaWonly ifthere isavalid Certificate.of ncy.
FOR THE BOARD OF HEALTH
AG HEALTH AGENT C OR
. r
CITY OF SALEM, MASSACHUSETTS IGS, � l
` • BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR IDIONNEna SALEM.COM
JANET DIONNE,
ACTING HEALTH AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION."
FEE: $50.00 //A,
PROPERTY LOCATED AT (a S � r/04 UNIT#
IS THIS UNIT DISIGNATED A RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
Add// /�/ MANAGER/AGENT--,,&h
NO P.O. BOX
ADDRESST�/ C ADDRESS WQ� f!4
CITY, STATE, ZIP CITY, STATE,ZIP/(gry
RESIDENCE PHONE 17 7W–,/
BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: LLA/M- 2. 3. 4.
6. 7. 8. 9. 10.
7r
THERE IS A F ( )�OLLAR 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 DATEQ3,2Z o7
Inspectors use only
Date on initial inspection: -3 , Z'1 -o(3 Date of reinspection:
Date of issuance of certificate: 3- Z.'1 a I Date fee paid: 21,1:0
g
Type of unit: Dwelling k-^Other Check# )/D Z Check date:
Notes:
C e Enforcement Inspe or
CERT.# 406-98
3 FEE $25.00
DATE: 06/30/98
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 FITNESSI'
PROPERTY LOCATED AT: 3 Green Street UNIT # : 1st floor
OWNER/AGENT: Donat Desrocher
ADDRESS: 3 Green Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1640
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 (/
qg-v--X-�/010>� -/;Q
JOANNE SCOTT. MPH, RS,CHO F
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:(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 3 �r UNIT#_/410— �c�e
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER L,(, ,rDgSQr___x-66ro MANAGER/AGENT
ADDRESS ��� .// ADDRESS
CITY CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.-
5.
. 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
APPLICANTS SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 4;
��yy�DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: ` O ATE FEE PAID: 0
TYPE OF UNIT: DWELLING_ OTHER
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98
l
t
CITY OF SALEM, MASSACHUSETTS
'1 e BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR
TEL. (978) 741-1800
IQMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGRE1?NBAUMQSALA?M.001M
DAVID GRl''ENBA UM,RS
ACTING HFell..,nI AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#408-10
DATE ISSUED: 8/25/2010
Property Located at: 4 Green Street UNIT#
Owner/Agent: Rabih Chaghoun
Address: 3 Hill Top Road
City/Town: Danvers, MA Zip Code: 01923 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 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
I
DAV GRE N A S
ACTING HEALTH AGENT CODE EWORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
• BOARD OF HEALTH
120 WASHINGTON STREET,4".FLOOR
TEL. (978) 741-1800
IQMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR DGREENBAUNI[M.EM.CONI
DAVID GREENB 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 Mmeati, k&') UNIT#
IS THIS IT DISIGNATED AS RIGHT E FRONT OR BACK,PLEASE CIRCLE ONE
OWNER/LESSER G b i �l CL0\10 C) U Y 1 MANAGER/AGENT
NO P.O. BOX \.)'
ADDRESSER !*DP P d� ADDRESS
CITY, STATE, ZIP U" c�i a CITY, STATE,ZIP�M
RESIDENCE PHONE 97 � .- 20 V-) a O 1 BUSINESS PHONE (24HRS)
BUSINESS PHONE 9?� - 7 YV--P Y 3
TOTAL NUMBER OF ROOMS:_ & &W5
ROOM USE: 1. Lf b 2. 3. 4. 5.
6. A "_ UP,7. I8.
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
I Inspectors use only
Date on initial inspection: Date of reinspection:
Date of issuance of certificate: JdS- / 0 Date fee paid: OaS// D
Type of unit: Dwelling ther Check# 1 1(T 1 Check date: 9lol0 �U
Notes: ,Slime svetas ram (nPI In �f(/ be' r(f hll�n ( fk �� ( ,r&lb-s
w cua- , �1/h"1in mUi�h� wy) io f/N�o_- , slime wr�a��
r�xV1� fixed- to o� ctelse rr�P4 'J i rg-VIC 64f4�qu rnsMCyhs,
C de E orcement Inspector
��CONUIT
����TmVgl
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 11/28/2000 Tel:(978)741-1800
Fax:(978)740-9705
Francis & Laurie Gagnon
4 Green Street
Salem, MA 01970
PROPERTY LOCATED AT 4 Green 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 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.
FOR THE BOTH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
o BOARD OF HEALTH
s 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, RS, CHO
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE#398-06
DATE ISSUED: 8/15/2006
Property Located at: 10 Green Street UNIT# 1
Owner/Agent: George E. Kelley& Kathleen Bresin
Address: 10 Green Street#2
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-5841
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 V
ANNE SCOTT, MPH, RS, CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
a4 �.
Crnr OF SALEM, MASSACaIiuSETTS
t ' i o
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0949
JOANNE SCOTT, MPH, RS, CHO
Kimberley Driscoll HEALTH AGENT
Mayor
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER it, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT /b GoeeAy _ � UNIT#
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
(TOWN_ ESSER6 L _ -LC- MANAGER/AGENT_
o O. Box No P.O.Box
ADDRESS LO 4cE ,✓ +�J .try e ADDRESS
CITY $6Hc ? Af4 c9 — v —CITY--
RESIDENCE
CITY._ —RESIDENCE PHONE --�a7 S1 7qS{SZ E6MUSINESS PHONE (24 HRS)--
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1�e!14
5. 6AZ -,6.,--.-7.
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 SIGNATURE2SU-aE--QNL-
UAjEQEjWj1AWNSPEC
- �ATE�S006
INSPECTOTION -/_7_ _ ._. .. _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE-? >, a DATE FEE,PAID:_.q_
TYPE OF UNIT: DWELLIN(pZ OTHER_ . ., CHECK 11 7a'C CHECK DATEg-J Sy O
NOTES:_ ..... /1\
S
CODE ENFORCEMENT INSPECTOR 9/28/98
vaIlk
IM.
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 10/20/99 Tel:(978)741-1800
Fax:(978)740-9705
Richard &.Doris St. Pierre
20 Green Street
Salem, MA 01970
PROPERTY LOCATED AT 17 Green 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 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.
4OR THE BOARD�H REPLY TO
JoScott,
MPH RS CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
A R
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH, RS,CHO 02/15/2000 NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Alicia Anna Andrews Fax:(978)740-9705
19 Green Street
Salem, MA 01970
PROPERTY LOCATED AT 19 Green 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 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 /0ARD 9F TH REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
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:(978)741-1800
01/31/2000 Fax:(978)740.9705
Stephen F. Williams
444 Chadwick Road
Bradford, MA 01830
PROPERTY LOCATED AT 21 Green 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.
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
I 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 HEALTH REPLY TO
Joanne Sco t, MPH,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CERT.# 138-98
FEE $25.00
3 7t
X111 IAF_ DATE: 03/11/98
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: 21 Green Street UNIT #: 3
OWNER/AGENT: Stephen Williams
ADDRESS: 444 Chadwick Road
CITY/TOWN: Bradford. MA ZIP CODE: 01830 24 HOUR PHONE: 469-9419
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.
F'OR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
=: 1 yo
u 1] (p=
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".
3
PROPERTY LOCATED ATr.Q Pim S UNIT
OWNER/LESSERsjpp�Qv� L.1 � �110.rnS MANAGER/AGENT�}�D\ pyo C:W\\ti ,sS1z•
ADDRESSADDRESS_1\
CITY a942,A4C\i?_�_ 7 (Yl� CITY 50.�eTY' mR _
RESIDENCE PHONE(S2E�.) BUSINESS PHONE (24 HRS.)
BUSINESS PHONE (V
—T
TOTAL NUMBER OF ROOMS:
ROOM USE: I�LiC� nm 2 �2r�00Y>13 IGc�C� erg 4 11
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 TUE OF INSPECTION
�! r
APPLICANTS SIGNATURE �� DATE IO_
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION:,__Zp= DATE OF REINSPECTION -p _
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
TYPE OF UNIT: DWELLING OTHER
NOTES:
�� CODE FNFORCEMENT INSPECTOR
CERT.# 22-00
3 9i FEE $25.00
DATE: 01/19/2000
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: 23 Green Street UNIT #: 1L
OWNER/AGENT: J. Anthony Pelletier
ADDRESS: 23 Green Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0251
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
j 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
i
FOR THE BOARD OF HEALTH -
�
in
Jv 0At NEx SCOTT, MMHR`fS—CHO
aL �I ap2.,.,o_
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
� i
NIS
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 R HU4TR]
AN HABITATION".
E_
f
PROPERTY LOCATED AT C�� _ J ` UNIT#!
IS THIS UNIT DESIG�`NAAJTED AS N BACK PLEASE CIRCLE ONE
OWNER/LESSEF Y�1 NMANAGER/AGENT
No P.O. Box /'� No P.O.Box
ADDRESS 13 C7�7rfY! �f ADDRESS
CITY � t-e� t _ aj��D CITY
RESIDENCE PHONE 9`�d I BUSINESS PHONE (24 HRS.)
BUSINESS PHONE 912' 1p 0176
TOTAL NUMBER/OFROOMS: __ / c�
ROOM USE: 1.
5. s. z. 8.
THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM LT E TMENT T S FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE DATE t ��
INSPECTORS USE ONLY
DATE QF INITIAL INSPECTION/- / _O O DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/- 0 D DATE FEE PAID:
TYPE OF UNIT: DWELLING,-OTHER_ CHECK# Co ,CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
r q
7 s
M=4991 4AW==U
aP
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 111 ; 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, !/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 agent
from any .loss or injury-.sustained of,,'whatever;-nature ,and description occasioned,, .,. . ,
by my/our absence during said inspection.
TENANT/LE F. Oil, OR
ADDRESS ADDRESS
S Q S htC ue
ADDRESS OF UNIT TO BE INSPECTED
1 � 00
DATE
CERT.# 23-00
� FEE $25.00
DATE: 01/19/2000
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: 23 Green Street UNIT #: 2
OWNER/AGENT: J. Anthony Pelletier
ADDRESS: 23 Green Street
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-0251
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.
OR THE BOARD Q'F H TH �/�
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO - NINE NORTH STREET
HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800
Fax:(978)740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS OR HUMAN HA71
PROPERTY LOCATED ATCq-t? W _UNIT#
IS THIS UNIT DESIGNA D AS @R! HTn��EFJRONT BACK PLEASE CIRCLE ONE
OWNER/LESSE E � p�ANAGER/AGENT
ADDR Bo�3��" No P.O. Box
��w 4 / ADDRESS
CITY 92!�,, /" CITY
RESIDENCE PHONE/V_W/ 025- ( BUSINESS PHONE (24 HRS.)
BUSINESS PHONE ?*_7"-G/�O
TOTAL NUMBER OF ROOMS:/ / /
ROOM USE: 1.� 2/. '<i 3. �3�.G� #/4. C �
8
THERE IS A TWENTY-FIVE($25.00)DOLLAR FE PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM H LTHUAR FEE IS PAYABLE AT THE
TIME OF INSPECTION. n
APPLICANTS SIGNATURE DATE 7 ZU
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION /- /q/ —Oa DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE: /iE_0 4� DATE FEE PAID: /--/g- 0a
TYPE OF UNIT: DWELLING
liOTHER_ CHECK# !Y -4 a CHECK DATE 1=.L�7 dc,
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CERT.# 490-97
n FEE $25.00
�1�1 QIP? DATE: 07/28/97
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: 24 Green Street UNIT #: 1
OWNER/AGENT: Valma & Arthur J. Turcotte
ADDRESS: 13 West Circle
-
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-0688 -
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/
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
OFFICE USR oky
CER'-. I
DATE:
CITY OF SALEM. HEALTH DEPARTMENT
BOARD OF HEALTH
Salem, Massachusetts 01970
9 NORTH STRUM
HEALTH-AGENT
5oe-fat-1000 APPLICATION FOR CERTIFICATE OF FITNESS
•IN ACCORDANCE WITH STATE SANITARY'CODE, _CRA PTERIII, 105 CMR 410.000 "MINIMUM
STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT
.
[REIT #
--
OWNER/LESSER VALmjk P
.L -TR SL'_.-ryQCo77F_ MANAGER/AGENT
ADDRESS ✓: C U-15 ADDRESS
CITX ;..,, .. , 5 AL.'f5tR
'RESIDENCE-,PHONE '.;.: 7 ��' QE.� P` r BUSINESS PHONE (24 HRS.)
BUSINESS PHONE ct
TOTAL NUMBER OF —ROOMS:
ROOM,:USE: •I. 2. 3. 4.
5_ 6 7 g,
THERE IS ,A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE
CITY OF SALEM $EALTH'DEPART,;M�EJN�T ;UPON COMPLIANCE AND ISSUANCE OF CER�T-IIFI�CATE_ �^�
E
APPLICANTS SIGNATORY-. " 'I/` DATE_ 2_
St�L+`
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION: !a 7 MATE OF REINSPECTION _
_—e
DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:
-��
TYPE OF UNIT: DWELLING VOTHER
NOTES: ✓/
CODE ENFORCEMENT INSPECTOR
,l
N 9
3
mr�
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:, 07/18/97 Fax:(508)740-9705
Arthur J. Turcotte Nominee Trust
13 West Circle
Salem, MA 01970
PROPERTY LOCATED AT 24 Green 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,
FQR THE BOARD OF� REPLY TO
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
conmIT
5P
CERT.# 73-02
N FEE $25.00
DATE: 02/15/2002
��MINE
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-
JOANNE
1970JOANNE SCOTT, MPH, HS,CHO 120 Washington Street—4'" Floor
HEALTH AGENT Tel # (978)-741-1800
Fax# (978)-745-0343
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 24 Green Street UNIT #: 1 Right
OWNER/AGENT: Arthur J. Turcotte
ADDRESS: 13 West Circle
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-0315
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.
/
WR THE BOARD GOOF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT C¢DE/ENFORaMENT ;NQS PECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTHis
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 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT ldk UNIT#
IS THIS UNIT DESIGNATED A RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSER ( MANAGER/AGENT
No P.O. Boxq No P.O. Box
ADDRESS(` W L4-�t ADDRESS
CITY CITY
3 IS-
RESIDENCE PHONE -}�F 0 C BUSINESS PHONE (24 HRS.)
BUSINESS PHONE .3 If-0 3�'U
TOTAL NUMBER OF ROOMS: T /I .
ROOM U • � �2. 3. 4N`���
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 SIGNATURE DATE
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION a DATE OF REINSPECTION N�i9
DATE OF ISSUANCE OF CERTIFICATE: s DATE FEE PAID: a�/5"/d a
TYPE OF UNIT: DWELLING OTHER_ CHECK# .CHECK DATE a 5- Q�
NOTES:
CODE'NrURCEMENT INSPECTOR 9/28/98
yg�.C.NIB
CERT.# 559-98
3 FEE $25.00
DATE: 09/03/98
���MIIVB
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: 24 Green Street UNIT #: 2nd floor
OWNER/AGENT: Arthur Turcotte
ADDRESS: 13 West Circle
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 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, MP}I, RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
X1,5 8�
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 a �{ !�l/ l e w UNIT#
IS THIS UNIT DESIGNATED ASRRIGH T LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERd/9th! u ? /Y2Co7T_a MANAGER/AGENT
ADDRESS / 3 Yu PST • 01, /L 6 -P ADDRESS
CITY - 614 u CITY
RESIDENCE PHONE BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2.-3.-4.-
5.
. 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 n
APPLICANTS SIGNATURE z - DATE
INSPECOORS USE ONLY
DATE OF INITIAL INSPECTION( V' DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:y-3"If DATE FEE PAID: J?
TYPE OF UNIT: DWELLING Y OTHER__
NOTES:
CODE ENFORCEMENT INSPECTOR
5/19/98
�OWill
` n �
OPllryg
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET '
Date:HL/TFBNT Tel:(978)741-1800
Fax:(978)740-9705
Arthur Turcotte
13 West Circle
Salem, MA 01970
PROPERTY LOCATED AT 24 Green Street UNIT # 2R
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. (978) 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
r
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET. 4TH FLOOR
:a SALEM, MA 01970 CERT.# 362-02FEE $25 .00
TEL. 978-741-1800
FAX 978-745-0343 DATE: 07/15/2002
STANLEY USOV=, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 26 Green Street UNIT #: 1 Left
OWNER/AGENT: Arthur Turcotte
ADDRESS: 13 West Circle
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 639-0580
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
No r CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVIC7, 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 UMAN HABITATION". ))
PROPERTY LOCATED AT A f/Y` c// UNIT# J
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNER/LESSERMANAGER/AGENT
No P.O. Boxl tit No P.O. Box
ADDRESS I7 /n�ADDRESS
CITY i CITY
RESIDENCE PHONE 7 �� - BUSINESS PHONE (24 HRS.)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. _2. 67 G 3._ roti
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 SIGNATURE 1L DATE >? - 62--
INSPECTORS
LINSPECTORS USE ONLY
DATE OF INITIAL INSPECTION 7 �- DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:7 -dam' -'o DDATE FEE PAID: 7
TYPE OF UNIT: DWELLING�_OTHER_ CHECK# l CHECK DATE
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970 CERT.# 507-03
TEL. 978-741.1800 FEE $25.40
FAx 978-745-0343 DATE: 10/1/03
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 26 GREEN STREET UNIT #: 2 LEFT
OWNER/AGENT: ARTHUR TURCOTTE
ADDRESS: 13 WEST CIRCLE
CITY/TOWN: SALEM, MA ZIP CODE: 01970 24 HOUR PHONE: 978-740-0315
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 OFTHE
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 (R) 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.
FO THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
t CITY OF SALEM, MASSACHUSETTS
' '� BOARD OF HEALTH `-(S-
• 120 WASHINGTON STREET, 4TH FLOOR
LE 01970
TEL. 978-778-7 41-1800 ti(
- FAX 978-745-0343
STANLEY USOVICZ, JR. -JOANNE SCOTT, MPH, RS, CHO _ $€p 1 g 2003
MAYOR HEALTH AGENT 'I
BOCITY OF SALEM
ARD OF HEAL H
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 c 2 L `Z� UNIT#-2—
IS THIS UNIT DESIGNATED AS RIGHT EFT FRONT BACK PLEASE CIRCLE ONE
OWNERILESSER MANAGERIAGENT
No P.O. Box No P.O. Box
ADDRESS /3 6-62t2,li C% � ADDRESS
CITYCITY
RESIDENCE PHONE -431, USINESS PHONE (24 HRS.)
BUSINESS PHONE /
TOTAL NUMBER OF ROOMS: S
ROOM USE: 1. AZ4,A. _2.--0v� 3. A,� 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.
APPLICANTS SIGNATURE G%�s2' DATE lam. D 3
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION -6 3 DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE. / 5_ DATE FEE PAID: - 13 --D ,5
TYPE OF UNIT: DWELLING,/ OTHER_ CHECK CHECK DATE ��
NOTES:
CODE ENFORCEMENT INSPECTOR 9/28/98
' CONINT
m .¢
n �
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT 11/26/2000 Tel:(978)741-1800
Fax:(978)740-9705
Diana & John Butler & Richard Csonger
29 Green Street #2
Salem, MA 01970
PROPERTY LOCATED AT 29 Green Street UNIT # Left
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.
FOR THE BOARD OF HEALTH REPLY TO
-Joann,a 8c tt, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
www.SALEM.COM
Kimberley Driscoll
Mayor JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
5/18/06
Diana Butler
29 Green Street#2
Salem, MA 01970
PROPERTY LOCATED AT 29 Green 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 Board,o eaA'll Reply to
(; Joanne Scott MPH, RS, CHO Pablo Valdez
Health Agent Code Enforcement Inspector