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HARBOR STREET 22-49 HARBOR STREET 22 — 50 , � , � ! � a �I e o � �I � I o — - .-. _r,-�._..�_ ... .,.�n,. --. . . ....... __..t � _. . _ ...�. . . . . _ _. . . . . . , � ' ... .. ��,y,*_"_�y�•�^.._'a . ,. _ r... s+.r�, .� r '' CITY OF SALEM, MASSACHUSETTS ..1 � BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR � � SALEM, MA 01970 CERT.# 541-03 FEE $25.00 T E�. 978-74 I-1 800 DATE: 10/21/2003 FnX 978 -745-0343 STANLEY USOVIQ, JR. ,JOANNE SCOTT, MPH, R5, CHO MAVOR HEALTH AGENT � I�I CERTIFICATE OF FITNESS PROPERTY LOCATED AT: ZS HBTboY Street UNIT #' B-Back 'I I OWNER/AGENT: Richard Thomas � �� ADDRESS: 25A Harbor Street � CITY/TOWN: S81Em, MA ZIP CODE: 01970 Z4 AOUR PHONE: 9�$_�41-1J86 � AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS I BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : INASSACHUSETTS STATE I SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATZON" . j THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF�THE �i I 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 IIABZTATION" . � SECTION 410.400 (B) : DWELLING UNIT (X) I�ND 410.400 (C) : ROOMING UNIT O . MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: TAIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPF�NTS i7NDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800. FO T�D OF HEALTH � . � � �� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT r I �, � • CITY OF SALEM, MASSACHUSETTS �' '� BOARD OF HEAL7H • � 12O WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 � ' Te�. 978-741-1800 b - � Fnx 978-745-0343 ' � � STANLEV USOVICZ, JR. _JOANNE SCOTT, MPH, RS, CHO �� MAVOR 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 �5 H.�7L�i O P2 S � UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON BACK PLEASE�tRCLE ONE _ � � `�/ OWNERILESSER MANAGER/AGENT y- / �Pr� No P.O. Box No P.O. Box ADDRESS�S_��1``�7L��tZ S� ADDRESS CITY�l��iy /�1� �/Ci' �O CITY RESIDENCE PHONE��Y/-/7 5�,�,.BUSINESS 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 HF�&LTH DEPARTMENT THIS FEE IS PAYABLE AT THE T(ME OF INSPECTION. �~ APPLICANTSSIGNATURE �`I � DATEGI "?--��U�7 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �GT- .Yr� 'b � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE�D ��-�D 3 DATE FEE PAID:,�D 'a'a'�3 TYPE OF UNIT: DWELLING _OTHER_ CHECK#'`!S CHECK DATE/d �,�-o_-o� � NOTES: �,�✓—�� c `� C�wt c..A�"G.n-'-.,,��5 CODE ENFORCEMENT INSPECTOR 9/28/98 i i .. � .� . � R � � � Cizy or S�LF�z, M��ss�cxus��rrs � �—�� BOdRD OF HP.�I,TH 12��15HING7'ON STREET 4p�1 F'LOOR PublicHealth e v�n��i.r.nmm�. r.oi��ai. TF�:,. (978) 741-1800 Fa�(978) 745-0343 KIMBLRLFY DRISCOLL �amdin(�a salein.cotn I,ARRY R�A�41)IN,IiS�RI(I Iti,CI{O,CP—L�S . �'It1YOR HISA1.:1'IlAc;ri,N'I' CERTIFICATE OF FITNESS i CERTIFICATE#338-12 DATE ISSUED: 8/22/2012 Property Located at: 25 Harbor Street UNIT# 1 R Owner/Agent: Ed Henricks Address: 18 Butman Streete City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 617-543-0167 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 Occ ncy. FOR THE BOARD OF HEALTH , � ; LA RAMDIN HEALTH AGENT - ANITARIAN . , 3��- �� _ � � CI"I'Y OF S�LFM, MASSACHUSF..,TTS '� ' B�dRD O!'HIiAT"PH `\-c�� 120��'�si�[�vc�roh S'ratLr 4"�ll�oox � '17?L. (978)741-1800 �( � ICLniBLRLLYDRISCOI.L F�LY(978) 745-0343 � � �_ (-7 �` �� NLi�YOR . 1.RAMDIN�SALF,T�LCOM J G v LA12RY RAbIDiN,itS�R6IIS,CFIO,CP-Fti I-IGAI�Cli i1G1�N1' � 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: $50.00 PROPERTY LOCATED AT �S n�ro�_ Je c� � � � UNIT# t v� i .�'; IS TFIIS UN T DISdGNATED AS RIGHT LEFT FRONT O AC LEASE CIRCLE ONE � OWNER/LESSER�d�CG� ""�'/�� MANAGER/AGENT NO P.O.BOX nDD�SS r� 6��i��h S� ADDt�SS P•� • �c,� Y�8" �jM�� CITY, STATE,ZIP `J��'""�", ��' a I � �� CITY, STATE,ZIP �� Oly�S7/ RESIDENCE PHONE_�LSV3'O�E�IJ HUSTNES�Pz?ONE(24HRS) 61)—S U3—U�67 � BUSINESS PHONE TOTALNUMBEROFROOMS: � � Y'��R'O� s1�� i��.n,�,.. ROOMUSE: 1.13�1�oa�, Z�e�zp1+, 3$a�,ruyh, 4ICi�C�. 5 y�G�{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 A BLE AT THE � E OT�ON APPI.ICANT'S SIGNATURE � DATE � �s ZU�Z � Inspectors use only Date on initial inspection: O�I 5 I� Date of reinspection: 1 DaYe of issuance of certificate: Date fee paid: �/ ` Type of unit Dwelling Other Check# Check date: � ��v ; Notes: o b° YCt Q� ` ' .--t- .�,a , � - �11� . ' n��, �ViC1P1�� (Q�p�"� � II'lX��Q.. f��L�' APk]ro6YYli Y�P-�!'�.Zn C,Oof �O-�t01vr �o(riYt - d,�� 1a�1�1C�i.Jg `�'o �, ��'�,xe.V� Cod ment Inspector ��,,��5 / U : �I�� .��.�S�G�- �� . . . . �.,� • i� � CI I`Y OI� Sr1LFM, MASSACHUSFTTS 'R��+ � BO.�RD OI�HEdLTIT 120 W��s[�n�vc��oN SZ��r�r,4"".FiooR 1TL. (978)741-1800 KIb-IBLRLEY DI2ISCOLL I'��s (978)745-0343 MAYOR �.k.�nnn�N��nr s�a.c�M LAR1tY RAbfDiN,itti�ItE,AS,CI-i0,CP-RS I�-IFAL"Cl i AGENT Release ln accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitazy 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 Boazd of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulaGons and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. i �,� CJ"U� . . _ __ - - Tenan L,essee Owner essor �4 �� - 13�� l� � � Address Address I �S ��r�6�� 5�.� � , Address on unit to be inspected II Date Upda[ed S@3/11 ,` /' �o CITY OF SALEM� MASSACHUSETTS �� BOARD OF HEALTH � ` � 120 WASHINGTON STREET, 4TH FLOOR � ��\ .�Po� SALEM, MA 01970 � '"".• . TEL. 978-741-1 800 � ��0�� Fnx 978-745-0343 STANLEY J. USOVICZ, JR. . JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#240-04 DATE ISSUED: 06/01/2004 Property Located at: 25-27 Harbor Street UNIT#2 Owner/Agent: Ed Henricks Address: 10 Cross Street East City/Town: Somerville, MA Zip Code: 02145 24 Hour Phone: 617-543-0167 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliancewith 105 CMR410.000: 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. Certif cate 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. R THE BOARD HEA TH JOANNE SCOTT, MPH, RS, CHO ��yc�------ HEALTH AGENT r CODE ENFORCEMENT INSPECTOR � : �s'� CITY OF SALEM, MASSACHUSETTS '�� . '� BOARD OF HEALTH � � � • 12O WASHINGTON STREET� 4TH FLOOR � SALEM, MA 01970 . TEL. 976-741-I800 � ' � FAX 978-745-0343 � STANLEY USOVICZ, JR. JOANNE SCOTT� MPH, RS, CHO � MAVOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS ' IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 I "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION°. PROPERTY LOCATED AT aS-�1 �ar�O`r S'� UNIT# � IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �cQ E��"��-�s MANAGER/AGENT ' No P.O. �ox No P.O. Box ADDRESS �U C rusl SP f4Sr ADDRESS CITY .SQ 1�n4�tv� �uL � CITYI/ '-" y� RESIDENCE PHONE 6� 7 -Sy 3� �U�BUSINESS PHONE (24 HRS.) ��7�`1 � "v�6 � BUSINESS PHONE G��5� ��v �G�' TOTAL NUMBER OF ROOMS:�_ ROOM USE: 1�W� 2�roo� 3,��'0� q. �'`�ryUYi'� - 5(JL'.��f""ns. (�rt[��,a,. � PA^.�'�I 8. k`��.votM 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. APPUCANTS SIGNATUREC� �°"'✓"" J DATE ( T' U� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I�'z lb yP DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: / 0'/� DA�F�F�E PAID: S/��by � O/oo �:�76bfG �/- TYPE OF UNIT: DWELLING ✓OTHER_ CHECK# _CHECK DATE��( �i NOTES:��r/�a:*�� _ S"c�,��£nrf �o� s'e�✓asrCA� WfN�GaX' t��"'E' - - CODE ENFORCEMENT INSPECTOR 9/28/98 � CITY OF SAL�M, MASSACHUSETTS . : �� lio��Ri�or Hr-_,��.rF[ �� 12�WA5FIlD3GI'<)N STRPL:T,4101�LOOR TL:i.. (978) 747-1800 1<IMB�KLrY DItISCOLL �.��(978) 745-0343 MAYOR nciir;rNisnu�(r�sni.��:ti.a��n� Dnvlo Gai��:rtnit�wM,RS AC'r'iNc; L-IP:,�i:Cn Aai;Nr' CERTIFICATE OF FITNESS CERTIFICATE #525-10 DATE ISSUED: 11/12/2010 Property Located at: 25-27 Harbor Street UNIT#3 Owner/Agent: Ed Henrichs Address: 18 Butman Street CityfTown: Beverly, MA Zip Code: 01915 24 Hour Phone: 617-543-0167 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". 7herefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of I 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��`�;EENBAUM, RS ACTING HEALTH AGENT COD ENF RCEMENT INSPECTOR l �ra • + CIT'Y OF SALEM, MASSACHUSETTS Bo�aD oF H�.Tx �� 120 W�ISHINGTON STREET,4"�FLOOR TEL. (978) 741-1800 KIMI3ERLEY DRISCOLL Pax(978) 745-0343 MAYOR ucxir,��Ni3nuna(ilsni,i;u.coM Dnvm Gat;:�Ni;�wM AC:"1'tNC:; HB�V.:1'Pf AC13N'I' Facsimile Transmittal To: �/l�/PS' �t. Fax # (� ��53�— 7��r�S— RE: �,�' �GV I.�� S�{ • c SCt IP/t�l P Date : I I ��J �/U Page(s): including this cover#� Message: 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 aS �� :�, ��,,� : ��- ��a- �y9� � � � � , � � IT wmma FOR [DATE 1) TIME M—r--A " cj- -- OF PHONE AA?A C�DE NUMBER D<TENSION J FAX 1-1 MOEIII P: "EA CODE NUMBER \ETD CALL TELEPHONED PLEASE CALL N CAME TO SEE YOU WILL CAU m WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE 5 *7-5 !7-6— �:s �ou ol . JL A� ftNiVERSAL- 48005 MADE IN U.S A. S]ION 1 : ra S��—lU • � � CITY OF SALL',M, MASSACHUS�TTS �� Bq�1RD C>P I-IE�LTH • 12��111SHING'PON S'TREE"1',4��FLOOR 'Ti3�.. (978) 741-1800 I4M13�RLEY DRISCOLL I'��l ()78) 745-0343 MAYOR i�cizr�c,Ntinu�(as�v.enn.COM D.�1VIll GRLENB,�Ubf,RS ACTING HFALTH AG;L.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 ZS-2� N�`��C/L S� 3 r`� ' 'G� UNIT#� IS THISUNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER CS��e71'(� G� ' MANAGER/AGENT S�/�^^A- NO P.O. BOX - ADDRESS , U � �x 4 U� , S-I' ADDRESS CITY, STATE,ZIP V�1 ; �� CTTY, STATE, ZIP G r � �� RESIDENCE PHONE � � 1` S�I� y�Iv� gUSINESS PHONE(24HRS) " � �—S y�`G�� BUSINESS PHONE ` TOTAL NUMBER OF ROOMS: � "� b��^ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FE ,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE V DATE Inspectors use on� Date on initial inspection: � I IIa I�� Date of reinspection: Date of issuance of certificate: I� Id �U Date fee paid: � l /U Typeofunit: Dwelling�Other Check# C�(�� Checkdate: �� a �U Notes: '�U((1 uo haa- wG�er �(1Jf -r(/�(M.'� MG�lP,j �n Code nfo cement Inspector ! . ' � • � CI'I'Y OF SALEM, MASSACHUS�TTS . � BOdRD OP HE�ILTH . 120 W�1SHINGTON S"L'RHET,4`��P'LOOR Ter.,. (978) 741-1800 KIMB�RLEY DRISCOLL IA� (978) 745-0343 MAYOR ��ciuseNiinu�(�snu;M.COM �� DdVID GREENBdUbf,RS . � ACTING HE�1L'CH t1GENT Release In accordance with Massachusetts General Laws Chapter ll 1; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and A;ticle XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit ofresidential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessazy that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Boazd of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date . . �� i ' � Gli� or S<��r-,�, M�ss�cr-�vsF�r�i�s \ "a,;�.�� B<�,�iu�or�xi-:.�i:ri� 120 W:�sx��<,rc>� Srar.rT,4"'1 i �x�a TE1�.,. (978) 741-1800 1i1M1ib;x1.I�Y DRISCOI.,L � �'.-�� (978) 745-0343 I�AYOIZ lcamdi��a;salem.com � 1..�ARKl' RA��II)IN. Rti�ltl:l IS,CI-Ip,(:P-I�S . HIC,A1:1'll AGI'N'I� I CERTIFICATE OF FITNESS CERTIFICATE #35&11 DATE ISSUED: 9/22/2001 Property Located at: 25 Harbor Street UNIT#3 Owner/Agent: Ed Henricks Address: 18 Butman Streete CitylTown: Beveriy, MA Zip Code: 01915 24 Hour Phone: 617-5430167 An inspection of your vacant Dweliing/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. Cert�cate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only'rf there is a valid Cert�cate of Occupancy. FOR THE BOARD OF HEALTH !�` R DN � HEAL AGENT CODE E RCEMENT INSPECTOR �"� • � � CITY OF SALEM, MASSACHUSETTS -- . �� - — BOARD�OEHEALT-H. —. _ '�,�� _ _ 12�WASHINGTON STREET,4"'F''LOOR �L. ��sj�ai=isoo-- � "�—•— ---KI ERLEY-DRISCOLL- -- - Fex(978)-745-0343 -- - ��0�- --- MAYOR � LIiAMDINCa�SN.F:N.COM �---LAI2RY-RA DLN,RS/ItEI-1S,C7-[O,CI'-ES . . . . BAL1'H AG�N'1" �� . , ..�..� .. ' . .. Application for Certifcate-of-Fitness _IN.ACCORDAIyCE WITH STATE SANITARY CODE, CHAPTER I 1, lOS�CMR 410.000 "MINIMLJIv1 STANDARDS OF FITNESS FOR HUMAN HABITATION" r FEE:'$50�00 „ .. , , �__� . I ' 1 ` 9 i P OPER LOCATEDA'I' �� I^�Fn,�"DCJv�;�'A UNIT# � - —IS THIS UNIT DISI NATED�AS�RIG T LEFI'-FRONT OR-BAGKy-PLEASE-CII2CLE�ONE. � �+�_ —OWNER/L SSER'—�P�L'�/l i�� MANAGER/AGENT - � '�' . .. NO P.O.BOX b_ _ �. .. _. .. .�..- _..._.. anv�ss -o o B v� r�aN-s-� aDD�ss� ��-g _ __ _--- CIT'Y, STA ,ZIP � CITY, STATE,ZIP M� ' Y �( y�_O � � " _RESIDEN PHON��/ � BUSINESS PHONE(24HRS) �,/I�Q __ �� --�BUSINESS PHONE TOTAL N MBER OF ROOIviS: ROOM US : 1 VUL�^,t'�fvu 2 �l t �3 Y�•v�,rt�q. 'd�1/fUf1'b'�5�. ' , _'� — —6. 7. 8. • 9:; 10. , i � � THERE IS f1 FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM , — 'BOARD O HEALTH THIS FE A E T-THE TIME OF-INSPECTION — , ; i . i '. --APPLIC T'S SIGNATURE� — � - - ! � ,. D'ATE�- - -'�• �� -- -- i Insnectors use onlv —Date on ini ial inspection: �_-Z1-- � � Date of reinspection: -- -- -_. _ �_- __._ _ . _Date of iss ance of ceRificate; � -�iti' �� Date fee paid: �1-Z`�-� �1 _Type of un : Dwelling Ll_Other _ Check# ��d 1 � Check date: � ,L2' �� _ _` _ __ Notes: - �- 'Code Enfo ement Ins tot -e � , . � . . - . � , • r , . , � , , : , , . , + � � I _� —._— s' . . _— �� _ _ � � � . . _ - -- . _ . _ . _ _ _ _.t-._...-�_ .� — - ---- -- - - - - - - - .�.::�.a,.,:�.:. _:�. _ .� ' ' � � —.�= - .� � .-� r _ � ._ --- - � , ti , ;, .a � . _ ' J , t , � . -; �; —� = -, — - — 1 \ A l . . .;.t .. . �Y� i . . � � . . ' .� . , . �t � � 4. 1�- �� ! , 7 . . . � . . l r � .. , . . . ' - -. .. . . . .. r � 1 \ � " � ' _ �_�__ _"_ ' ._ ' . _� .._«__.�_ .. ..1�-� � � - -� �.� � �,,,r��.., . . . . � v��coNUiT � � .� C i e�+ ��-"�1�� 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 09/27/2000 25-27 Harbor Street Realty Trust c/o William Arnold, Trustee ' 10 Linden Street Salem, MA 01970 PROPERTY LOCATED AT 27 Harbor 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 Ct9t; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMF2 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. HEALTH REPLY TO anne� , MPH,RS�,CHO PABLO VALDEZ ealth Agent CODE ENFORCEMENT INSPECTOR . , � , �ONUIT �6�;. � � � � a. � CERT.# 28-02 � � ; � FEE $25.00 DATE: O1/16/2002 ��/M1M. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970� 120 Washington Street—ath Fioor JOANNE SCOTT, MPH, RS,CHO Tel # (978)-741-1800 HEALTH AGENT Fax# (978)-745-0343 � CERTIFICATE OF FITNESS '�� PROPERTY LOCATED AT: 27 Harbor Street UNIT #� 3 F1. #4 OWNER/AGENT: Harbor Street Realty Truet � � ADDRESS: 10 Linden Streat � � CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 375-2402 - � AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS � ' BEEN APPROVSD AND IS IN COMPLIANCS 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.N[JMBER 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 O . � MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOSS 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 O�F HEALTH . /f.. �t.1— .i l ��1'�'-r.�.'rLa_.F�� ,,:`-;..._.'_, .f . � ��'��. V • JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �_... . � _ . _. - x„...�. .,,,.- q,�w.�, ` ;'t„ . . _ x �:t � CITY OF SALEM, MASSACHUSETTS • � . � � � - BOARD OF HEALTH � + �•�� r . ; _ �� 120 WASHINGTON STREET, 4TH FLOOR , � , � � . � � SALEM, MA 01970 � TEL. 978-74f-18O0 � - � � � � � FAX 978-745-0343 � STANLEY USOVICZ� JR. ,JOANNE SCOTT, MPH, R5� CHO p' O�� , MAYOR HEALTH AGENT �X'� , � ll ( � 1 p APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMP 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". � PROPERTY LOCATED AT� � �/�/3hR ��T _�6 UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWN ER/LESS ER��//��STp,,C�MANAGER/AG ENT�_��UGLfI� No P.O. Box -�-�"No P.O. Box ADDRESS /l� L/iv'O�n! S�� ADDRESS CITY �L�'/7� CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 9 7� ' _�i�� 02 S�6 Z ' TOTAL NUMBER OF ROOMS: �" ROOM USE: 1._/J�2.�3. �/T 4. �G`/�� 5. 6. 7. 8. _ . THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER�O THE CITY OF SALEM HEALTH DEP TMENT THIS FEE S PAYABLE AT THE ' TIME OF INSPECTION. APPLICANTS SIGNATURE ^ DATE (�'1�� INSPECTORS USE ONLY AATE OF INITIAL INSPECTION � - ( � `-� � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: � � �° ''' DATE FEE PAID:� - � X '� � TYPE OF UNIT: DWELLING�THER_ �#,��58 QQ CHECK DATE�U z— ' _ / ` � NOTES: CODE ENFORCEMENT INSPECTOR g/28/g8 _;V; �` CITY OF SALEM, MASSACHUSETTS 6 • B0�1RI�OF H}^�1LTH 12O WdSHINGTON STREGT,4"'FLOOR TEL. (978) 741-1800 KIMBERLBY DRISCOLL F�(978) 745-0343 MAYOR ��cRF:r.Nunun2(�sa�a�:na.co�a Di\d1D GRBENRAUM AC'f'ING HFi.rV.;I'hI AGL'sN'I' CERTIFICATE OF FITNESS CERTIFICATE#429-09 DATE ISSUED: 8/27/2009 Property Located at: 32 Harbor Street UNIT#2 Owner/Agent: Steven Berube Address: 21 Leach 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 andlor 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 BOA�OF HEALTH I DA ID GREENBA M �� /Yo ��i ' ACTING HEALTH AGENT COCjE.ENFORCEM INSPECTOR " �. - �` CIT'Y OF SALEM, MASSACHUSETTS ' • BOARD OF HF�ILTH / (/��, �. 12O W1ISHINGTON STREET,4��PLOOR ��-�I(� T'Et,. (978) 741-1800 KIMBERLEY DRISCOLL P�c(978) 745-0343 �}(Qjt � DGRL'ENI3AUM(a�SA1,1;M.COM Df1VID GREENB�IUD4, ACTING HE.�LTH 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 '�2 2 �/it�� . UNIT#�_ IS THIS U1VIT DISIGNA ED AS RI HT LEFf FRONT OR BACK,PLEASE CIItCLE ONE OWNER/LESSER ...��B�,.L.-/�%��Pi�.v1„p , MANAGER/AGENT NO P.O. BOX /� ADDRESS � / �Ce� :4�' ADDRESS CTI'Y, STATE,ZIP�� CITY, STATE,ZIP RESIDENCE PAONE Cf �S('ZL�L_ G/ ?G) BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:�_ ROOM USE: l.�r��- 2.L, i 1� 3. ,��,I7 4. T3� ,P7 5 !�� /� 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CTI'Y OF SALEM BOARD QF I�EtV,TI3 THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE ��uL„ �� ,�r,, DATE � 2/ -�7 , — Inspectors use only Date on initial inspection: �f(�`��C�� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#�_Check date: Notes: �(`�jU� v (�Q.�"��pf �r��^f�C�m Sf11�-T a V�SiIt'e CP I( �P�-�v�.��sr �� b��ns. C nforcement Inspector . �- - Q � 4 �V � �� CITY OF SALEM, MASSAC�NSETTS V Bo.�Rv or HE.�Lrx 120 W�ISFIINGTON STRE.ET,41°FLOOR Public�iealth • rr�.��i.v.�mm�.rmi�c�. Tr,r.. (978) 741-1800 F�x(978) 745-0343 IiIMBERLEY DRISCOLL l�amdin(u�salem.com ' LrAIiRY li,AA1DIN,Rti�R13J-fti,C41b,(';P-FS MAYOR Hl�i.r\l:I't t i1G I:iN'f CERTIFICATE OF FITNESS CERTIFICATE # 187-12 DATE ISSUED: 5/3/2012 Property Located at: 32 Harbor Street UNIT# 3 Owner/Agent: Steven Berube Address: 21 Leach Street � City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH � -�*�, � LA RAMDIN ' __L��'" HEALTH AGENT SANITARIAN e .. '� �� G��T'Y OF SALEM, MASSACHUSETTS �$�� a- � � 1-`a � Boer.n oF HF�.� ��`��`�j 12�Wr1SI-fING1'OIV$'11tE11',4"�FLOOR �n�� TEL.(978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 lvitiYOR LRAMDINna SAI.EM.COM LARRY RANIDIN,RS/RLHS,Q-IO,Q'-FS HEALIT I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIb�UM STANDARDS OF FITNESS FOR HUMAN HABITATTON" ' FEE: $50.00 PROPERTY LOCATED AT 32 Harbor Street UNIT# 3 IS THIS UNIT DISIGNATED AS RICIIT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Steven Berube MANAGER/AGENT NO P.O. BOX ADDRESS 21 Leach Street, 2R ADDRESS C1TY, S'fATE, ZIP Salem. MA 01970 CITY, STAT�, ZIP RESIDENCE PHONE (978) 741-4439 BUSINESS PHONE(24HRS) BUSINESS PHONE (978)495-0623 TOTAL NiJMBER OF ROOMS: 4 ROOM USE: 1.Bed 2.Bed 3.Kitchen 4.Livin�Room 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 FLE I PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE T�_�� DATE 5-1-�Z Insnectors use only Date on initial inspection: ,�'') -1 `L Date oPreinspection: Date of issuance of certificate: 5-\ "��- Da[e fee paid: S' 3-�2 Type of unit: Dwelline ✓ Other Check# � '�0`1 Check date: y -�d-�`�- Notes: � Code Enforcement Inspector ' . it .� �+ � CITY OF SALEM, MASSACHUS�TTS BoaxD oF HFaLTx 12O WASHINGTON STREET,4"�FLOOR PI1�liCHC8�Y�1 Prevent Pmmare.Pm�ect. TEL. (978)741-1800 Fak(978) 745-0343 KIMBERLEY DRISCOLL kamdin ,salem.com LARIiY RAMDIN,RS�RFHS,CI30,CP-I^S Mt1YOR . � HI3�V:PHAGI3N'P . CERTIFICATE OF FITNESS CERTIFICATE # 126-13 DATE ISSUED: 4/9/2013 Property Located at: 33 Harbor SVeet UNIT# 1 Left Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 978-887-8406 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 Cert�cate of Occupancy. FOR THE BOARD OF HEALTH � /� RAMDIN �`^�'D HEALTH AGENT SANITAR ._ � �� • � CITY OF SALEM, MASSACHUSETTS I I�O�IAD OF HF�iLTH 12O WdSHINGTON STRLET,4"� FLOOR . T'Fr.. (978) 741-1800 IQMBERLEY DRISCOLL f�.��;(J78) 745-0343 MAYOR ucai:�:Nrinum�(a�snLt=mt.COhI D�1 VID GREENB�1UbS, ACTING HEdL'I'H 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 � -cz ,�G�o � S4. UNIT#_� IS THIS UNIT DISIGNATED AS RIGHT E RONT OR BACK,PLEASE CIRCLE ONE � OWNER/LESSER TU /`�'4- � i-�1 MANAGER/AGENT��c.tQ C_�` NO P.O. BOX � ' ADDRESS � C�-eQ�-( � ADDRESS��J-e.� � CITY, STATE,ZIP �� S -hi� � � /� �� CITY, STATE,ZIP C>/ �'l � � RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE 9 7 ��7 �5�� TOTAL NUMBER OF ROOMS: � ROOM USE: 1. 2. 3. 4. � 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM iBOARD OF HEALTH THIS FEE IS PAYABLE AT TH TIME OF INSPECTION APPLICANT'S SIGNATURE G�-�-�' DATE�� Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#�Check date: y��R 'S Notes: /✓ � . " e fo cement Inspector � . \ � CITY OF SALEM, MASSACHUSETTS o � ; BOARD OF HEALTH 12O WASHINGTON STREET, 4TH FLOOFi SALEM, MA 01970 Te�. 978-741-1800 Fnx 978-745-0343 Kimberley Driscoll �WSALEM.COM MByof JOANNE SCOTf, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#98-07 DATE ISSUED: 3/9/2007 Property Located at: 33 Harbor Street UNIT# 1st Floor Right Owner/Agent: Marie Gagnon Address: 16 Lockwood Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH � � �� ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � , �; . . CITY OF SALEM, MASSACHUSETTS > BOARD OF HEALTH ��/�n • � •� 120 WASHINGTON STREET, 4TH FLOOR e ' �� / - SALEM, MA01970 ��90�� q - TEL. 978-741-1800 , , � . . � � Fnx 978-745-0343 � .` Y�p .1 ef �100�! STANLEY�USOVIGZ, JR. . �u+R ' �L L I , JOANNE ScoTT, MPH, R5, CHO , � MAYOR HEALTH AGENT ' CITY OF$/�l..F.P1A eo�o oF H�,+i.ni 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��3 I-I-�R-p-�C�S� �ST ��- 2 UNIT#��Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER µ�2s�- �`�'G'`�� MANAGER/AGENT No P.O. Box No P.O.Box ADDRESS\b �-�=�� -'� ADDRESS CI�b�SFs�v7 CITY RESIDENCE PHONE9��g�^8$ SbBfJSINESS PHONE (24 HRS.) � � BUSINESS PHONE � � TOTAL NUMBER OF flOOMS:� . ROOM USE:1 �.�_ __ 2.'g�;� . . _ 3 '$�'� 4.' R,i ; 5. �V 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. APPUCANTSSIGNATURE_-�'� DATE 31� (0� � � INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �i -� - Q '� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:.�=1��7 DATE FEE PAID: � -Ct' - � 7 TYPE OF UNIT: DWELLING�OTHER_ CHECK#`7� .5'f- CHECK DATE��4 � NOTES: _— -- .. ,.uxrv�.,. � ., :.____" "_'._. . . "_.'_'.__." '__ '_"_' . . . CODE ENFORCEMENT INSPECTOR 9/28/98 � r� wND City of Salem, Massachusetts f �� . Board of Health 120 Washington Street, 4th Floor, Salem, Pi1b�CH�B81th MA 01970 Oce�enc Womole. Proteot. 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-17-119 DATE ISSUED: 4/18/2017 Property Located at: 33 HARBOR STREET UNIT#2L Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978) 8848856 Pursuant to the requirements of City of Safem 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 :� ,� � c� � CIlY OF S.ALEM, M.ASSACHUSETTS �,�� I3o:viv oi�He,,�r:r1r '�Ci,yr�� .120 WASHINGTON STR}3F:.1. 4��r�H7,OOR Tr.�,i.,. (978) 741-1800 RECEIVED KIMAERLEY DRISCOLL F��x (978)745-0343 Mt1YOR i.annanm(a7snt.sm�.conr APR 182017 L.1RRl'RAbdDiN,RS�IiEI-iS,CI-i(),CP-I�S Hrtnr.n��1crN�r CITY OF SALEM BOARD OF HEALTH Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FTTNESS FOR HUMAN HABITATION" FEE: $50:00 - - = PROPERTY LOCATED AT_ �3 y�n-`��- S"T UNIT# �.1— IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER M81'le Gagrlon MANAGER/AGENT NO P.O.BOX ADDRESS_ 8 Cleary Lane ADDRESS CtrY, STATE,Zrn Topsfield, Ma 01983 CTTY, STATE, ZIP RESiDENCE PHONE 978-887-8856� BUSINESS PHONE(24HRS) BUSiNESS PHONE 978-887-8856 TOTAL NiJMBER OF ROOMS: ROOM USE: l. 1�T<-�,'s� 3 �v�cr4 '��7 5 S�� 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 T TIME OF INSPECTION APPLICANT'S SIGNATURE DATE y `�3 1�� Inspectors use only Date on initial inspection: n l b Date of reinspection: Date of issuance of certificate: Date fee paid: ��F��"/ Type of unit: Dwellin� O[her Check# � Check da[e:�� Notes: Co e nf cement Inspector , :, ,� � � � CITY OP SALEM, MASSACHUSETTS BOt1RD OF HE.-1LTH � 12O WdtiHINGTON STREET 4°1 FLOOR� pI1b�CHP.81tI1 > Prevmt Vromote.Vro�<ct. TFL. (978)741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lxamdin�salem.com - L;11t1t1'li;�n41)IN,RS/RI31-iS,CI-l0,(:I>-l�s . MAYOR H13�ll:1'H AGEN'1' CERTIFICATE OF FITNESS CERTIFICATE#4&14 DATE ISSUED: 2/10/2014 Property Located at: 33 Harbor Street UNIT#2R Owner/f�qent: Marie Gagnon Address: 8 Cleary Lane CityfTown: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 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. Cert�cate 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 � �� ' � LA-F�t'f'RAMDIN � ~��. HEALTH AGENT SANITARIAN �� , � • � CITY OF SALEM, MASSACHUSETTS ///� L� B0�1RD OF H&1I,TH �X � � I120 W�sxzNCTON S7�x��,4"'PL<�ox � T'Fr. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYQR DGRf:L:NItAUM C(�e,SALG:M.COM D�1VID GREENB�IUM, ACTING HE�LTH AGF_NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HiJMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT `�� '-��'Z- 5' �� '��- �- UNIT# a2 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE � OWNER/LESSER �M�A22� CS-�P�V�o�J MANAGER/AGENT NO P.O. BOX ADDRESS � �-�i1 �--� ADDRESS CITY, STATE,ZIP '%�'QS�-��O � �v� D �`��ZCITY, STATE,ZIP RESIDENCE PHONE..�g-��1-�QiS b BUSINESS PHONE (24HRS) BUSINESS PHONE _. __._ . -,--._. ._..__ . ... . _.. ,. , -- _ __ �;:.-, __ _ . _ _. TOTAL IVUMBER OF ROOMS: � ' ' ROOM USE: 1. g;c-� 2. f3�"� 3 �—✓ 4"��'�- 5. a=�� 6. 7. � 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CTI"Y OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNAT DATE Inspectors use onlv Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: n Type�of uait: 'Dwelling Other Check#��Check date: � No[es":� -.�, . .,.,,:,;; - _ - --__..__ . __ _. - . . � � ,'. . . F�.^..._ -� ... -..�.v . . . : . � /...:... . . .. ... . . . . .. .. _ ... _ . . ..._ '. .. . �.,.... . � :�: .: '...• . 'i- f Code Enforcement Inspector . `�ND�"�° City of Salem, Massachusetts �j !� -- ; LI >�� 9 Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Prorm�. Kimberley Driscoil Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin�a salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-216 DATE ISSUED: 8/7/2015 Property Located at: 33 HARBOR STREET UNIT#3L Owner/Agent: Marie Gagnon Address: 8 Cleary Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone:(978) 8848856 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH � Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT IAN .j � � � CITY OF SALEM, MASSACHUSETTS Bo��xD oF Haai.Tx � 120 WasxiNCTc�N S��E��,4"'FLoox TFL. (978) 741-1800 KIMBERLBY DRISCOLL F�x O78) 745-0343 MAYOR ucicc,r.NrsnuMna sn�.eM.COM D�VID GREENB�IUM, ACTING HE,ILTH AGENT - Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.00� "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT �� -3�Z S� iINIT# �� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER M�� c�S MANAGER/AGENT NO P.O. BOX ADDRESS '� C��-�, L� ADDRESS CITY, STATE,ZIP—TO�S'�� 4 O� �� CITY, STATE, ZIP RESIDENCE PHONE q��"`�`b�- $�1' BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:�'I. ROOM USE: 1. �ac,�� 2. �-v�cr 3. '�37 4. S;� 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'I'HIS FEE IS PAYABLE AT THE T1ME OF INSPECTION APPLICANT"S SIGNATURE � DATE � �2� �� Inspectors use only Date on initial inspection: ��p��S� Date of reinspection: Date of issuance of certificate: ' Date Fee paid: 0 O `LGIZ.� Type of unit: Dwelling Other Check# /�Check date: � Notes: C n cement ector � �- � � � CITY OF SALEM, MASSACHUSETTS � ; BOARD OF HEALTH s 12O WASHINGTON STREET, 4TH FLOOR � SALEM, MA 01970 Te�. 978-741-1800 Fnx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTf, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#264-07 DATE ISSUED: 5/29/2007 Property Located at: 33 Harbor Street UNIT#3rd floor right Owner/Agent: Marie Gagnon Address: 16 Lockwood Lane City/Town: Topsfield, MA Zip Code: 01983 24 Hour Phone: 887-8406 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 Certifcate of Fitness is valid only if there is a valid Certificate of Occupancy. . FOR THE BOARD OF H. EALTH �� E7�i��J�' i��S� "",' C.,� l� l . � JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 1 __ _.__.� , .. .� ... . ,_ � . ; .,-' ; � �,�, ; . ' ' • oxmr CITY OF SALEM, MASSACHUSETI'S � /n� �,v�'� '� BOARD OF I-IEALTIi �� 120 WASHINGTON STREET, 4TH FLOOR //�� SA�Etit, MA 01970 p�� S�� s A � �� q TEL. 978-74 I-I 800 �Qm� FAx 978-745-03d3 ' n� c q� STANLEV USOVICZ, JR. R5, CHO 'UUN � v�OO/ � JO/\NNE SCOTT, MPH, ' MAYOR HEALI'H /{GENT CITY OF SALEM BOARD OF HEALTH APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PFlOPERTY LOCATED AT '�3 *4�0(�-Sr UNIT N�'G� Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERlLESSER�`��¢- Cr�C�+�CRJ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS \�o �.CXX.aoc�7 t-�i ADDRESS CIT1�6(xF3�� CITY__ RESIDENCE PHONE �g-e��-�851,oBUSINESS PHUPdE (24 HRS.) � � DUSINESS PHONE Q � TOTAL NUMBER OF ROOMS: ROOM USE: 1.�'��2.�Cr3. �T�.n 4. 3'�� 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 �T -DATE' �(a�'I OZ INSPECTORS USE ONI.Y DATE OF INITIAL INSPECTION ��)c � 7 DATE OF REWSPECTION DATE OF ISSUANCE OF CERTIFICATE: S��9ti7 DATE FEE PAID:�'�� TYPE OF UNIT: DWELLII�G/'_OTHEPi_ CHECK A 7� 3 b CHECK DATE�� ? NOTES: 1 i CODE ENFORCEMENT INSPECTOR 9�25�98 4 "�+6, CITY OF SALEM� MASSACIiUSETTS �! HEALTH AGENT �� 120 WASNINGTON STREET, 4TH FLOOR SALEM, MA 07970 � TEL. 978-741-1800 Fnx 978-745-0343 KIMBERLEY DRISCOLL JSGOTT@SALEM.COM MAYOR JOANNESCOTT � , HEALTH AGENT �I CERTIFICATE OF FITNESS CERTIFICATE#575-07 DATE ISSUED: 11/27/2007 Property Located at: 34 Harbor Street UNIT# 1 Owner/Agent: Zeneida Toribio Address: 34 Harbor Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone' 744-3768 An inspection of your vacant DwellinglRooming 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 / �°-�.`' '��-- � U�� ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR / CITY OF SALEM, MASSACHUSETTS n + [�,� BOARD OF HEALTH �' J� �� • 120 WASHINGTON STREET, 4TH FLOOR � SALEM, MA 01970 TEL. 978-741-I 800 - Fnx 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 _� YL UNIT# � IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 2 � JIl � / � ,4 /„ ,/�n MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS � ��o{Z�� ADDRESS CITYc �GY/Q u� (l/�Q (�( ��t� CITY RESIDENCE PHONE7�TtG 37 c5h' BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:�_ ROOM t1SE: 1._��_2._�3. � 4. ffi 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 TfME OF INSPECTION. APPLICANTS SIGNATURE� �;�DATEr��-� 7 —�� ,�--<-- INSPECTORS USE ONLY DATE OF INITIAL WSPECTION �I-� 7-��_DATE OF REWSPECTION DATE OF ISSUANCE OF CERTIFICATE//-� 7-0 � DATE FEE PAID: �l- �- 7 - d � TYPE OF UNIT: DWELLIN�OTHER_ CHECK#�D � CHECK DATE ��7 _07 � � NOTES: CODE ENFORCEMENT INSPECTOR g�28�gg + � , � �� T CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH _ �+. 120 WASHINCTOu STc.s�T. �^- . . ""�� CERT.# 17-OZ � _ a. SALEM, MA 01970 FEE $25 .00 'ai�, . ,yB��'�� TE�. 978-741-1 800 DATE: O1/11/2002 FAx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH� R5, CHO MAVOft HEALTN AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 36 Harbo: Street UNIT #: 1 Front OWNER/AGENT: Serqia Guerrero ADDRESS: 45 Prince Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-6749 , ' AN INSPECTION OF YOUR VACANP DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS � � � BEEN APPROVED AND IS IN COMPLIANCIi 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 NUhIDER OF OCCUPP.NTS, 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 O . 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 i '�(j, ��/b�'� , �%ZN �/ V J`'%�WTT, MPH,RS,CHO � HEALTH AGENT CODE ENFORCEMENT INSPECTOR , ' �o� CITY OF SALEM, MASSACHUSET7S � BOARD OF HEALTH � 1; .��-r *.. 120 WASHINGTON STREET, 4TH FLOOR ��q SALEM, MA 01970 ��, U �� TEL. 978-741--1 800 FAX 978-745-0343 STANLEY USOVICZ, 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 �j� ��0� � UNIT#�- IS THIS UNIT DESIGNATED AS RIGHT LEFT RON BACK PLEASE CIRCLE ONE OWNER/ ESS ��iQ ��('7"Q-(7) MANAGER/AGENT No P.O. Bo -S No P.O. Box ADDRESS �S_P�nC� ��— ADDRESS ciry ��_�'�`1- �I°t� cirY RESIDENCE PHONE - BUSINESS PHONE (24 HRS.)_�j� BUSINESS PHONE � /� TOTAL NUMBER OF ROOMS:�� ROOM USE: 1.��v,ne�r2. dinn,oq 20�. I��C�vn 4. bQ�fbovt 5. ro-nr&. 'f'D H 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 PAYABL AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE � �D D� INSPE ORS USE ONLY � DATE OF INITIAL INSPECTION I-lI �o L- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /�//-'� Z- DATE FEE PAID:/ -%( ' c7 Z TYPE OF UNIT: DWELLING�OTHER CHECK#(0 7 I CHECK DATE I-j� 'aa� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ; , � • CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH '� • 12O WASHINGTON STREET, 4TH FLOOR � CERT.# 122-03 � Sa�EM, MA 01970 FEE $25.00 � TEL. 978-741-1800 DATE: 03/20/2003 Fnx 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOIT, MPH, RS, CHO MAVOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 36 Harbor Street UNIT #� 1 Left OWNER/AGENT: Serqia Guerrero � ADDRESS: 45 Prince Street , CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 594-5122 J. . AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVS 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 976-741-1800. FOR THE BOARD OF HEALTH j G��X.�,v �/�/"-�oC.L�(. . V F jI� � � JOANNE SCOTT, MPH,RS,CHO � HEALTH AGENT CODE ENFORCEMENT ZNSPECTOR � ' � �, CITY OF SALEM, �VIASSACHUSETTS � vg'�C� BOARD OF HEALTH /� Q% . _ � 120 WASHINGTON STREET, 4TH FLOOR „�(/� � � SALEM, (�lA 01970 ��, Y � qB�� T E L. 978-741-1 800 � � Fnx 978-745-0343 STANLEY USOVICZ, JR. ,JpqNNE SCOTT,.MPH, RS, CHO � MAVOR HEALT'�1 A�GENT APPLICATION FOfl (;ERTIFICATE OF FITNESS 3 . - . IN ACCOFiDANCE WITH STATE SANITARY'i.C?DE, CHAPTER.II, 105 CMR 410A00 "MINIMUM STANDARDS OF FITNESS FOR � UMAN H�461_TATI�� PROPERTY LOCATEO AT � � J�� UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT RONT BACK PLEASE CIRCLE ONE p�, / , OWNER/LESSER ��c [-CY� 1�CQUQ �ZL G� MANAGER/AGENT No P.O. Box �— �No P.O. Box ADDRESS � � ��Y�C�Q S '_ADDRESS_ CITY S�\--Q �1 �CITY C'l Y-� RESIDENCE PHONE .> I'1-S1ZZ ' U�INESS PHONE (24 HRS.) � ; BUSINESS PHONE /� 4 rnT�i �iVrnA_rn v� nn-.�e�. ( ""�:...� ' � . ., . . � i;v.Jiv�v. .�__t. _ . _ . . . .. _�. ROOM USE: i.�a,�2.(32t�,2Dm3.�r�. ��\v� Y1��y,� 5.d,nn�fD� �,I�pn7. 8. , THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE HEALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE ✓� �D J INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �-i7"O�_�_DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:3-J-o - o% DATE FEE PAID:3 �a-o�0 3 TYPE OF UNIT: DWELLING�OTHER_ CHECK ��— CHcCK CATE 3 '7-a—_t�j NOTES: Nnw �-roe . — CODE ENFORCEMENT INSPECTOR 9/28/98 i I � w� � • � � CITY OF SALEM, MASSACHUS�TTS � . B0.1RD OF HE�,LTH '" PI1bI1CHC81t}l _ ` � - �-�� - - � � - - -"--�" --� ' "T20�W.15HINGTON STREET 4� � FLOOR � - � rr<.em.v.omme.e.omec �. TE[,. (978)741-1800 F.1Z(978)745-0343 KIMBERLEY DRISCOLL kamdinnn,salem.com � � � L;\RRP RAMDIN,RS�IiE?I IS,CGIO,CP-I�S . . MAYOR � � HG;11:1'I-i AGEN'I' . CERTIFICATE OF FITNESS CERTIFICATE# 13-15 DATE ISSUED: 1/29/2015 Property Located at: 36 Harbor Street UNIT# 1 Owner/Agent: Kenneth Woods Address: 18 Temple Street City/Town: Newburyport, MA Zip Code: 01950 24 Hour Phone: 978-965-6129 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Cert'rficate 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 � � �� LARR MDIN HEALTH AGENT SANITARIAN - �� .� � � CITY OF SALEM, MASSACHUSETTS + s BOdRD OF H&1LTH ' � °- 120 WdSHINGTON STRELT,4°1 FLOOR I �✓� � TEL. (978)741-1800 KIMBERLEY DRISCOLL F1.�(978) 745-0343 MAYOR i RA6IDIN�0.tiN,BM.COM � Lr\RRYRAMllIN,RS/REiHS,CI-IO,(:P_I^'S - . ^ ^� Q�.��I� � V Hi.;��:ritAc�:N.r t'�' I o . Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HiJMAN HABITATION" FEE: $50.00 PROPERTY IACATED AT �� i�CLr J��^ � �Yr�-�` �T#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER_ P�n �� MANAGER/AGENT K�i� '�lvd� NO P.O.BOX ADDRESS I �5��-tio�� ADDRESS CITY, STATE,ZII' � CITY, STATE, ZIP 0/5S—U RESIDENCE PHONE �9��) 9�s- �� BUSINESS PHONE(24HRS) ' BUSINESSPHONE '��.�'' ��a $$a` `��'�Ib' TOTAL NLTMBER OF ROOMS: �,L.��SR,�Jlq ,cF=�� LczP.r � �� ROOMUSE: 1 �nan— 2 ��,�..H-3. �"K"" 4. b�+""' S. 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 P YABLE AT THE TIME OF INSPECTION APPLICA.T�IT'S SIGNATURE DATE f/°2� �� Insnectors use onlv Date on initial inspection:�I a��5 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#�_Check date: 1�0� � ��_ Notes: Code En ement Inspector n , ND � City of Salem, Massachusetts � . � Board of Health 120 Washin ton Street 4th Floor Salem Pt1b1�CHP�Ith 9 � � Present.Promot<.Proleet. MA 01970 Kimberley DriSColl Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Heaith Agent CERTIFICATE OF FITNESS CERTIFICATE #: GHL-17-41 DATE ISSUED: 2/16/2017 Property Located at: 36 HARBOR STREET UNIT#2 , Owner/Agent: Ken Woods Address: 18 Temple Street City/Town: Newburyport, MA Zip Code: 07950 24 Hour Phone:(978) 985-6129 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dweliing unit, apartment or tenement. An inspection of your vacant DwellinglRooming 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 wmply with 105 CMR 410.000. Certifcate 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. e.�;�-..�..- Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN f : � ' CITY OF St1LEn�l, 1�Ir1SSt1CHU5GITS ��• 130:1RD UF Ht_1CIl I y I�O\\�:\SHINGCON S'IRGI.I.,4O1 I�Lc tt)R TEt_. (978)741-1 SOU I�I�QiF.RLL"•Y DRISCOLL F:��(978)745-0343 �L�1'OR i.u:�uoi�Gil::� -ts�i ' iu L�\RRl'R\)NI\,w</ara is,cno,cr-r•s F�,�,,:�,��.�:.,� @� �p�,t,6VX�rn.eS . � ►(�j �n Application for Certi6cate of Fitness IN ACCORDANCE WTfH STATE SANITARY CODE,CHAP'TER 1 I, 105 CMR 410.000 "MINIMiJM STANDARDS OF FiTNESS FOR H[JMAN HABITATION" FEE:�50.00 / � � PROPERTY LOCATED AT VJ �Q ��Y � �� UN1T# IS TFILS U,y17'DISIGNATED AS RI�HT LEFT FRONT OR BACI:.PLEASE CIRCLE ONE � OWNER/LESSER ''�( f'� �(?��(�� MANAGER/AGENT �Y� �.�,✓� \O P.O.BOX (�' I E- ADDRESS I ls I P W1 D� S7� ADDRESS �I-C� ' � A��>,r.� S�- CTTY.STATE.ZIP IV P �J�`-�Jf��(�0 t�n�R O I �1 SZ� CTI'1'.STATE.ZIP � U�� RESIDENCE PHONE_ q� ""Cf� ��9 gUSIIVESS PHONE(24HRS) �(� � / 10 BUSINESS PHONE �f 4� !V J/1'\ � . - e a TOTAL NUMBER OF ROOMS:�-7 ��r � . { ROOM USE: 1.�� 1 �c he�. ��c�� 2'�3 5-�� 7 a L� � �.,1 �Zs��,, 6. 7. 8. 9. 1Q THERE IS A FIFCY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT TIME OF INSPECI'ION APPLICANT'S SIGNATURE DATE ZI � I �7 Inspectors use onlv Date on initial inspection: � -I 6 I "I Date of reinspection• �l� l,Ql � Date of issuance of certiticate: � 1�I Y� Date fee paid; Type of unit: DwelGng Other Check#12��eck date:� L�Q I L� Notes: 'w' r J �L`� Code Enfo ement Inspector //}.��' I�� "� I l/�,� v . S¢anned by CamScanner '�cic�b� �-i�@ ��c�et. cc� � � ^ ' � �-5 �e,mcw�l �-c�� C- � . . P `�� , �I � � . .,:�., .�� .za, � , � .v , � . ,�., .__ _ _ .. u.. _ ___ ._ . � : ___ � _ . _ _ _ _____ _ . . Inspection of Date Time �� Name1 �� Address Owner Tel. No. -r� J � Type of Inspection ' Inspector � ( ' 1 Remarks and Violations are listed below: � ,_ �C,1� n �!t'(�.JC��kL��_r—o ��.� �('� t S �-�.-�-��,�� '��'r � - I =�a�nc�� C�'—��1��. Q-� � e��f��- _ -P.Gfi�_ �rn��'� -�—�Q �--� a ��-n.��.2 — �� — �' �'�.�lnm� �o FIC�.��.�`{�i�n-c� � � ��-��`}��—��i�.� _ , b " — ��—��.r� c�n ��e � � , � Report Received by: , a CITY OF SALEM, MASSACHUSETTS � � BOARD OF HEALTH � '^ 17_O WoSHINGTON STpFFT, 4TH FLnne ��a��j "�'" /�'�I CERT.# 18-02 SALEP-0. MA OI�J70 � xjs� FEE $25.00 T E L. 97 8-74 1-1 800 '�pry� DATE: O1/11/2002 Fax 978-745-0343 STANLEY USOVICZ, JR. �OANNE SCOTT, MPH, RS, CHO MAVOR HEALTH AGENT I CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 36 Harbor Street UNIT #: 2 Front OWNER/AGENT: Serqia Guerrero ADDRESS: 45 Prince Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-6749 II AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ASO�IB ADDRESS HAS i BEEN APPROVED AND IS IN COMPLIANCS 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. I, � MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE , III SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT O . , MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOSS NOT CERTIF'Y COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. � FOR THE BOARD�AJ�TH /� �� ' �lJ� C �� i i � JOANNE SCOTT, MPH,RS,CHO , � HEALTH AGENT CODE ENFORCEMENT INSPECTOR � ' � -.�t':'.2Si�. , ��T CITY OF SALEM, MASSACHUSETTS 2 �Yg�� BOARD OF HEALTH / �' D I - � , >T, f 120 WASHINGTON STREET, 4TH FLOOR � SALEM, MA 01970 �iD,ye� T E L. 978-74 I-1 8OO . Fqx 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 il, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �� C�,�D(- S� UNIT N z- IS THIS UNIT DESIGNATED AS RIGHT LEFT RON BACK PLEASE CIRCLE ONE OWNE ESS S'��l(� GiAp-1'C2iY� MANAGER/AGENT No P.O. —� No P.O. Box ADDRESS �S �Y�vbP a, S"� ADDRESS CITY Sf}��µ f�� d� �/� CITY ., / RESIDENCE PHONE �� o-6�y BUSINESS PHONE (24 HRS.) V BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE: 1.' �� nH 2. ��n 2a�3. �'�Qti 4. a�l�✓�( s. r� ,� s b ed��. a. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH DEP TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE ��6 a Z INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / �( � �� Z' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: / �/I v �—DATE FEE PAID: / �' /( z� 2-" TYPE OF UNIT: DWELLING�OTHER_ CHECK# �o�CHECK DATE /�%/ -ri � NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ' a�T CITY OF SALEi�y :iASSACHUSETTS ' �� ' ,�."g� � �y BOARD OF HEALTH _ b 120 WASHINGTON STREET, 4TH FLOOR < s3 CERT.# 19-02 � � SALEM, MA 01970 �� FEE $25.00 .�� Te�. 978-741-1800 DATE: O1/11/2002 FAx 978-745-0343 STAN�Ev USovicZ, JR. JOANNE ScoTT, MPH, R5, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 36 Harbor Street UNIT #: 3 Front OWNER/AGENT: Serqia Guerrero ADDRESS: 45 Prince Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-6749 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVS ADDRESS HAS � BEEN APPROVSD AND IS IN COMPLIANCB WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN SiABITATION" . 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 HUMAIQ HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT O . MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOSS 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 � ��k�C.i ,,�"�'� � � JOANNE SCOTT, MPA,RS,CHO ' HEALTH AGENT CODE ENFORCEMENT INSPECTOR i I ' - �o�,r CITY OF SALEM, MASSACHUSETTS 7 • �� f� � BOARD OF HEALTH / � —OS`- � � 2p w�.s�iin�crory S��eSFr, arr� F�ooa .`—a � SALEM, MA 01970 �.pB�` TEL. 978-741-1800 � . FnX 978-745-0343 STANLEV USOVICZ, JR. ,JOANNE SCOTT, MPH, R5, CHO - MAYOR HEALTH AGENT I 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 �� G+��D� � UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT RON BACK PLEASE CIRCLE ONE OWNE ESSER�� (� CUp.YYPr�DMANAGER/AGENT Boz No P.O. Box ADDRESS �I S �r� V1�F S'+' ADDRESS cirY S�l(�e�K i,�9� �197� cirY RESIDENCE PHON � D-G� BUSINESS PHONE (24 HRS.)�� BUSINESS PHONE �I� TOTAL NUMBER OF ROOMS: �'S ROOMUSE: l.��v,+q4seni2.d.�n,Ag@o8. }�'r�n 4. �rDa s. rooM s. �. s. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH D PARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE � �" INSPECTORS USE ONLY DATE OF INITIAL INSPECTION I- l � l� Z' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:� /� v Z- DATE FEE PAID: / - � � �v Z-' TYPE OF UNIT DWELLING OTHER_ CHECK# C� 7 � - CHECK DATE / - // � Z- NOTES:-n�o.L�,,.,�c pona:,. - a �(,.,�.r /,r i;,,, ��-,�. CODE ENFORCEMENT INSPECTOR 9/28/98 l • � cox+�w, CITY OF SALEM, MASSACHUSETTS oS'v� "'� �a BOARD OF HEALTH � - � 120 WASHINGTON STREET, 4TH FLOOR � �� o' SALEM, MA 01970 � `� :._:Y� TEL. 978-741-1800 �nlne d� Fnx 978-745-0343 � KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 140-08 DATE ISSUED: 3/24/2008 Property Located at: 37 Harbor Street UNIT# 1 OwnedAgent: Luis Toribio Address: 170 Union Street City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone: 978375-0903 An inspection of your vacant DwellinglRooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FO THE BOARD OF H�ALTH �wt�j(� _ / ) � JOANNE SCOTT, MPH, RS, CHO �, HEALTH AGENT CODE ENFORCEMENT INSPE OR � � , =., �,� � • � • CITY OF SALEM, MASSACHUSETTS B0.1RD OF HFJILTH 120 W�1tiHINGTON$TREEI',4"'FLOOR T�[.. (978)741-1800 KIMBERLEY DRISCOLL F�x(978) 745-0343 MAYOR �scor�sni,isn�.COM �OANNE SCOTT, HF�ILTH AGENT Application for Cerfificate of Fitness � IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 ' "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT �� /7/77G/'��'". 'L S/ • UNIT# � IS THIS UNIT DISIGNATED AS RIGHT LEFC FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER�,L//S n�=%�J i U MANAGER/AGENT/��S �q/' uCJ NO P.O. BOX l � ADDRESS �� -j�� s/ .GT`lA, /u� ADDRESS CITY,STATE,ZIP��i /�ld�- C� %�l U� CITY,STATE,ZII' _ RESIDENCE PHONE��^!0�" ��/ BUSINESS PHGNE (24HhS;�_1��/- �f l� BUSINESS PHONE �i'C� -"�Q�-' ��7 �' z--' TOTAL NLJMBER OF ROOMS: J ROOMUSE: 1.��<<y 2. a�r=�i 3. ��.�iN q. C�v. iLz.gNS. �,nn� .�- 6. 7. 8. 9. ]0. THERE IS A TWENTY-FNE($25) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS E IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE ` `--� DATE� ' - �'�'' � Inspectors use onlv Date on initial inspection: � � � '� � Date of reinspection: Date of issuance of certificate: ?i,�� - d `� Date fee paid: � � Z� � J � Type of unit: Dwelling j1 / Other Check# U � Check date: � �� -O � Notes: � � I Code Enforcement Ins ector P S s° ,co+�, CITY OF SALEM, MASSACHUSETTS .3��1�. ��. BOARD OF HEALTH � ��r = 120 WASHINGTON STREET, 4TH FLOOR . SALEM, MA 01970 '� �"��o TE�. 978-741-1800 �Q'�� Fnx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#514-05 DATE ISSUED: 8/15/05 Property Located at: 37 Harbor Street UNIT#2 Owner/Agent: Mass Reality Address: 451 Broad Street City/Town: Lynn, MA Zip Code: 01901 24 Hour Phone: 781-726-0233 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 andlor 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 (Z�� -��__ • � /� JOANNE SCOTT, MPH, RS, CHO � " G�S�- I HEALTH AGENT CODE ENFORCEMENT INSPECTOR 08/I1/2005 01:57 FA%_ 7815927799 , �001 ,,..,,, >. ' ^.�"`� : ':'"`-�.'�`. CITY OF SALEM, MASSACHUSETTS F � , � BOAqD OF HEAITN .r � � �20 Wq5NIN67pN 57qEET� 4TM FIOOR SA�EM, MA 01970 � TEI. 978-741-1800 / � �� • FAx 978-745-0343 � � � STANLEY 115pVICZ, Jq. � Mnrow �OANNE SCOT7, MPH, R5, CHO HEhL1H qGENT APPUCATION FOR CEFTIFICATE OF FIlNESE� IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 C MR 4 i 0.000 "MINIMUM S7ANDAROS OF FITNESS FOR HUMAP� HApITATION', PROPERTI'LOCATEDAi t..7-� �� ST.----- ._ ___ UNITa� IS 7HIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASI i CIRCLE ONE OWNER/LE�R�,t$ �� ' . MANAGER/AGENT_ ___ ~ NoP.O. Box --- i ---._...__.-..-- ADDRESS / `No P.O.Box _ SL�rcu S� ___AUDRFSS � " -- -- ------ CITY__ _ „[.c/E1n_ _I___ __CITY �(/9 -. � _ _ -- -- _... .__.__. __._. RESIOENCC PHONE�3��7 6USINESS PHONE j24 HR:>.)�� BUSINESS PHON: - TUTA�PdCMGER OF ROC�NS � r�eoM us[ 1.L�v�'J'' � Din,f s BPC�/G1/N A dPs�.. • 5.�yd+t�lA�G._. _.7. . _. . _.. t3. THERE IS A TW[NTV-FIVE(S25.00) OOL�AR FFL, PAYABLE DY CHF CK OR MOPlEY ORDGR TO THE CITY OF SAl EM HEALTIi D(?pARI"MFNT THIS FFkr. IS pAYApLf: AT THF I TIh"E OF INSPECTION. APPLICANTS ;IC:,I�ATUH��t i�id�(�• )Aif' t� //�� / IN:�Pf;.C�lOfiS UG.:_ OIVI..Y � fJATf� C�'- I�ll!I!!I. INSPFCT��C,)N - (� - m� flA�il- i71� IiE:IfJtii�'1'C:11QIJ u�al'I �:�i it;r,un�d�.�i r:>� �:Ciiii� ir.n� i 4' —11-vd unii i�i i r;�i ; Q — I l _ �-,r rvi�r ��i urdi i nwi�i i in�,ri ii_i; c;� n �� ,� � _ ' � � i cF: n�,rr .S=LL -�� !J�)II 'l t:��l)1 IIJI �iI:�:llAlfal fV",14C: I�)II �r, . • 08/11/2005 01:58 FA% 7815927799 �002 ; -' ;..:`> ._ . . � , CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH ' • • i 120 WASNINGTON STREET, 4TH F1.00R SALEM, MA 01970 TE L. 978J4 1-1 800 Fnx 978-745-0343 � . Sl'ANIEY USOVICZ, JR. ,JOANNE SCOTT, MPH'� R5, CHO � MAYOR HEALTH AGENT HEI.CASE ]:n accordance with Massachuse�ts General Laws Chap[er III ; Cod�� of Massachusetts P.egulatior.� 410.000 ec . seq. ; State Sanitary Code Chap[er IL a�id Article XII1 of r.iie i.itp cf. SaLem Ordinance , undersigned owner/lessor and cenan :/lessec oF a uni[ of residenCi<il propei[y, hereby authorize Che Salem Board of He.�lth �z its au[hor— izee agen�:s to iaspec[ [he resideece identif.ied beLow in accord�ince with the aioremen[ioned statutes, tegulations anlS ordinartces. � I,i thr_ evenc i[ is necessary Lhat said i.nspec[ion bE done in my �our aosence, L(coe . exprn_gely authorize Che same and for my/our successoxs and assi ;rts herr.6y :elease � and discha:g^ [he Ci[y of �aletr�, Sa1em Board of 14ea1th rnd i[s vuthoci�ed a�e^.�s I from any loss or i.njury sus"tained of khatever nature and descci�tian occasioneri Uy m��/our. abser,c= durio.g said inspecti.or.. • ; / / , � f�l � �� / /�=-- Y�NAN'I'%Li:SSEF OW 0./i£SS�R yS/ /3��!r��_r�%n1 ADDC.ESS � ADDKSSS � 3��r�c� u��a so/+«,�� -- - --- --------- _. -- P.DURESS OF UIJI'C TO B@ I�SPECI'ED . ��R� U!:iE . �:�_� � o CITY OF SALEM, MASSACHUSETTS � � � �'P. BOARD OF HEALTH . � - $ 12O WASHINGTON STREET, 4TH FLOOR � � �Po`' SALEM, MA 01970 . . ��._'� TEL. 978-741'1800 �'MD�� Fnx 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM � MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 139-08 DATE ISSUED: 3/24/2008 Property Located at: 37 Harbor Street UNIT#3 OwnedAgent: Luis Toribio Address: 170 Union Street CitylTown: Lynn, MA Zip Code: 01902 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 HE� / �� IC�S�� JO NN(�, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR / �: � � CITY OF SALEM, MASSACHUSETTS J �� • • BO�1RD OF HF�1LTT-I - 12O WAtiHINGTON$TREEI',4"{FLOOR 1�t. (978)741-1800 KIMBERLEY DRISCOLL P�X(978) 745-0343 MAYOR )eco rrCasni.i:n�.COM JOANNE SCOTT, � H&1LTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." PROPERTY LACATED AT _3-� I7�/L�i2 '��r' UNIT# -��LA IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR B�PLEASE CIRCLE ONE OWNER/LESSER �,L/!J /�1L�/6/L� MANAGER/AGENT�GS:% /��ii' � NO P.O. BOX � ADDRESS /•�7� L-�/�I/G'M S/� ADDRESS CITY,STATE,ZIP ,U,1///��l , �� 'l�� CITY,STATE,ZIP iZESiTiENCE PHONE�� U � � �j� BUSINESS PHONE(24HRS)��'� �� /i J`' BUSINESS PHONE ��' �� 'S% TOTAL NUMBER OF ROOMS: �y ROOM USE: l.b��''� 2. �l��'-� 3.�/✓. 77cN� 4. /7av �z,ar. 5. 6. 7. 8. 9. 10. THERE IS A TWENTY-FNE($25) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS F � IS PAYABLE AT THE TIMG OF INSPECTION APPLICANTS SIGNATURE i! v �� DATE3 Ji/ ��r V, Inspectors use only Date on initial inspection: 3 ��' � �D � Date of reinspection: Date of issuance of certificate: 3 ' �' `� — o � Date fee paid: � -Y�P -'b 9 Type of unit: Dwellin�Other Check# b � � Check date: � 'y`� —0'9 Notes: Code Enforcement Inspector �° � `��D "�° City of Salem, Massachusetts � � � �. � " Board of Health O 120 Washington Street, 4th Floor, Salem, PubliCHealth MA01970 �revent �romote. �rotect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Heann a9e�c CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16146 DATE ISSUED: 5/6/2016 Property Located at: 38 HARBOR STREET UNIT#1 Owner/Agent: Zuri Jimenez Address: 38 Harbor Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(781) 215-1730 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 ot Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum NUmber of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH ✓ �� Larry Ramdin, MPH, REHS,CHO HEALTH AGENT SANITARIAN . �' r � � �• • CITY OF SALEM, MASSACHUSETTS ! B0�1RD OF HE�LTH 12O WdSHINGTON STREET,4�°FLOOR ��I1bhCHC8��1 PrtvenL Pmmota Pmleq. TE1,. (978) 741-1800 Fax (978) 745-0343 KIMBERLEY DRISCOLL �amdinCa�salem.com MAYOR � L,ULRY RAMDIN,RS�RL:I-IS,CI�10,CY-PS HG\7�17-1 AGI3N'1' Application for Certiticate 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 V 0 �GY�U� c�� UNIT#� . IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �(,GI�� Ul �ei� "C MANAGER/AGENT NO P.O. BOX p J ' / ADDRESS �O Cf l'D G/� `S�" ADDRESS CITY, STATE, ZIP �� /��') � �' CITY, STATE,ZIP RESIDENCE PHONE �� /�� Q BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NiJMBER 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 IS PAYABLE AT THE T�NIE OF INSPECTION APPLICANT'S SIGNATURE DATE � �Z �J� nspectors use only Date on initial inspection:��/Z�/(�n Date of reinspection: Date of issuance of certificate: Date fee paid: � , 2p. Type of unit: Dwelling Other Check#�Check date: /) Notes: Lirjna ro�pwS have '�arn s' enS ��ro0m �iacahf �'� b ��nm�n �fit win�ntvw�f� �lOrn Scieen, W�n.Xnt„ �n Ynv�rnom NaI �nIL �n SGrer.n De�lmo n ��r V�r .^ r�� !� a oHewi�n�aw w�i' brcken �oc�C a.,�mrss��n9 Scfeen and -�y a� + f ✓eut. I �ltno win 0w W� a prrl Se Code Enforcement'Inspector . . � f 4 .� �• � • CITY OF SALFM, MASSACHUSETTS Bo.�aa�oF H�,�LTx 1ZO WdSHINGT(�N STREET,4°i FLOOR PLlb�1CHC8� Prevmr.Promote.P�otem. TEr.. (978) 741-7800 Faa(978) 745-0343 KIMBERLEY DRISCOLL Itamdinna,salem.com � MAYOR L.\RRY R.\bfDIA�,RS/REI-IS,CI�IO,CP-RS HL.ALTH AG1:N"1' 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 ofthe City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Boazd of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/I,essee Owner/Lessor Address Address Address on unit to be inspected Date Upda[ed 523/11 � , , � CITY OF St1LEM, MASSACHUSETTS 3 J � Boa[�or Hr�LTH 120 W�15HINGTON STREET,4"'FLOOR TEL. (978) 741-1800 HIMI3ERLEY DRISCOLL F�x(978) 745-0343 MAYOR ue�zeeNiinu�rtCa�snt.e:nn.coM � Dnvry G1ti>,t:Nl;�aUnt,RS AC'PING Hf.?,11.1'FI AGI?N'C CERTIFICATE OF FITNESS CERTIFICATE #010-11 DATE ISSUED: 1/6/2011 Property Located at: 38 Harbor Street UNIT#2 Owner/Agent: Jacob D. Akers Address: -5 Delaware Court Citylfown: Portland, ME Zip Code: 04103 24 Hour Phone: 603-521-2600 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 compiy 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 BOA�F HEALTH � /_ /��.l�'"" � . L��'�-�� DAVID GREENBAIJNI, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR � , • � � CITY OF SALEM, MASSACHUS�TTS �� Bo,�Rn or H�v.T[r �� 12�WdtiHINGT(�N S'I'RrET',4"�}�LOOR Tr,�L. (978) 741-7800 I<IMI3I,RI.EY DRISCOLL Fax (978) 745-0343 MAl'OR uc�zrai-�.NisnuMnsni.nn�.cona � D;\VIDGRFSLfNRAUM11,IZS ACCING I-II�:iV.;fl-1 f�C13N'I' Facsimile Transmittal To: / 0�,� -- �l f� Fax # � i" RE: �.r'n� ' 3� '�r„��o(_S� � '�- Date : ��/ 1/ Page(s): including this cover#� Message: 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 ' � TRANSMISSION VERIFICATION REPORT TIME : 01/16/2011 00: 56 NAME : FAX : 9787450343 TEL : 9787411806 SER. # : 006B0N341991 DATE,TIME 01/18 06: 55 FAX ND. /NAME 919787411159 PAGE(S)N 00: 61: 32 RESULT OK MODE STANDARD ECM , .. .�� ,ry, n �11�T ��1' l.Ji�Ll'.1V1 1V11"��I11�111.�J�11.7 O\' 111� I 1 �aaa, � . . - � ,7 i � \! �� .y� �+ t3<>.a�iD or Flr �L�x U �<� 120 W:�si rin�croN Srizrrr,4"'Fr�ooR 7 ri (978) 7&1 1800 KIitiLB�'RLEY DRISCOLL F�s(978) i45 0343 A��j wee>h4 As��e4 l l�T:^15'()R nt;ici i �R�u�i(a)�v i at (:O�i DAl Ill��Itl+;h'�Bs1Ul�t,K$ -� . �a� ��(`�� _.t Acii�cFlr::��.[�r,\c.r:�r , _; � �� c 2 ozo�o A l�cation for Certificate of Fif'ness� ��- rr�=`"� PP � �rH IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT � � r d6r SJ ' Scvl � UNIT#�� IS THIS UNIT DISIGNATED AS RICHT LEF FRONT R BACK,PLEASE CIRCLE ONE OWNER/LESSER �1 r Ce�s MANAGER/AGENT NO P.O. BOX � aDD�ss S aDD�ss CITY, STATE, ZII' T O�`q,ti� CITY, STATE, ZIP �, a�� 6�L O� RESIDENCE PHONE - Z — � USINESS PHONE (24HRS) Sn.r�w PiE: I w� S� �° BUSINESS PHONE S u.:�P 7 -S� 4'��l �.�� '� 5 ��,;�r.}w.e.ti�' t �a��r;ti F�ic..i'�`:. �I�3' �f5 i�-��r�' TOTAL NUMBER OF ROOMS: ROOM USE: 1.L;v��,w �2. �,�c� 3. 4�d/'oow. 4. �d/�aw� 5 l]edroa�n./O�i`c�. 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 P YABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE , DATE o2 / Inspectors use onlv Date on initial inspection:��_,/(� Date of reinspection: Date of issuance of certificate: 1 �� Date fee paid: Type of unit: Dwelling__,_�Other Check#�_�Check date: Notes: l�l G� U S /l/I � � , � , �P.�i� 1¢ m� _ 1�1 {�1��w t �tiCK. � ,� ��. `� ar� � . �� a de E forcement Ins ector P �� . : . � ' C11� or S��,Nt MAss�crrUs��i rs �r� , �'�++�=' f30ARD OI-� HH:AL'1'FI 120 W:�sr n��G"['c>h�SrtteL"r,4"' �:�.c��it I<.IMI3F"iRI.F:'?Y I�AISC011, � ��"�=1,. (I78) 741-1800 IVI�YOR 1�;�F(978) 745-1'1343 � Iramclio(t�salem co�n I.iViItT RrAA4DIN,I(ti�Itl�(I IS,CI10,(;P-I��S Hi?n�;l'I-� Ac��(N�f . CERTIFICATE OF FITNESS CERTIFICATE#454-11 DATE ISSUED: 11/7/2011 Property Located at: 39 Harbor Street UNIT# 1 OwnedAgent: Andrew&Oona Harrington Address: 204 Peck Street City/Town: Franklin, MA Zip Code: 02038 24 Hour Phone: 978-380-9129 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 compiy 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'rf there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH t ( �� LARRY RAMDIN HEALTH AGENT CODE ENFORCEMENT INSPECTOR O�so gm a art 10 : oono,�Xro fon lod fnai con, � , i'.. , � �� , � • �',1'I'1' OI' �i11.J:(��i, Mr1tiSt\C;f-IlJtil�:'l'J'ti � v. ' R��1itu� q� 1U�_�i:ru � _�„+,+" 1201k'.�si ii�<,'r��v SrRi:1.r.�I"�I'i.i�� ni , �r�•:�_ ��»�77�� isun � i:i�nsr•.iti,i;1� uic�u c�i.i. i• ��(�i7h)7-Is-nid3 � ��I.11'Oil ii.i�.�itrn .�u,��i F L.\Itlt\ IZ 1\Ihl�,It�JItP11S,i II�i,� I' I:� I I� \I Il l \i�P\I Application for Certificate of Fitness � IN ACCORDANCE W1TH STATF SANITARY CODE, C,HAPTER I 1,,105 CMR 410.Q00 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABf`�ATION" FEE: $50.00 � PROPfiR7'Y U)CA'17iD A'P 39 Harbor Street � UN��g 1 IS'1'1115I1NIT DISIGtVATRD AS RI(=HT LN_N'1' OM . R RACK.PI.N:ARECIRCi,(:ONN: OWNF:R/I.f:SSF.R Andrew & Oona Harrington MANAG(sR!AGENT Nor.o. i3cm ---------;��_----- — ' ADDRGSS__204 Peck Street AIJDRISS CI7'Y,STATH, `l..IP Franklin, MA 02038___CITY, S'['A'PI:,'/..1P � KLSIDL•'NCL PIiUN13 978-380-9129 I3USINIiSS P![ONLT(24HRS) _ BUSINF.SS PF►ONF, ' "CO'fAl.NUM13[iR OI�ROOMS: 6 � RUOM USG (_Living 2. Bathroom3. Kitchen q, Bedroom 9, Bedroom ' 6. Bedroom 7. S. 9. 10. � . � "1'I-IF,RF.IS A Flf'CY($50)DOLI,AR �FiG, PAYABLE RY Cl�lf%CK OR MONEY ORDGR T(,)'I'HG CI7'Y OI'SAI.IiM BOARD ON 11}iAl;I'FI'fFIIS �iili IS PAYARLI'i n9"PFIE TIMR Or INSPEC'I'ION � APPI.ICAN'I"S SI(iNA7'URE_ �� ( DA'fli 11/7/11 � I ^ Inspec:tors use on� ' , i llate on initial inspa:tion:__�f�1_ r� � Datc of reinspection:� Uate of issuancc of certiticate:____._.__� � I"l I � � �._ Uate fec paid: �I I�7 �./__ __ "I'ypc of unit: Dwclling. _ �)thcr„—_---Ch�k# -1 "1.�p_..._. Chock date:_�_._ 1 f�7/�1_. Notcs: ._. • � . —� ._—_ aic F:n orccmcnl Inspuc;t<�r � � - . �, .� �� CITY OF SALEM, MASSACHUSETTS � B0�1RD OF HF�ILTH pt1�111CHC81t}l � � _ IZ�W�ISHINGTON STREET,4n'F'LOOR r«.�m.r�omom.c�o«a. - TEL. (978) 741-1800 Fa�(978) 745-0343 _ HIMBERLEY DRISCOLL kamdin e salem.com L�1RRY RAMDIN,RS�RI?:I-IS,CF[O,CP-I�5 � MAYOR - I-IFL;\I;L'H AGf'sN'1' CERTIFICATE OF FITNESS CERTIFICATE#433-14 DATE ISSUED: 11/14/2014 Property Located at: 39 Harbor Street UNIT#2 Owner/Agent: Linda Huntington C/0 Laura Welsh Address: 123 Judge Road City/Town: Lynn, MA Zip Code: 01904 24 Hour Phone: 891-9413 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 val id for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only 'rf there is a valid Certificate of Occupancy;;, FJ�R THE BOAR OF H TH //q . �.r-� � /Jyl7S1(`�[��`�� , �!) \ �� LARRY RAMDIN HEALTH AGENT SANITARIAN � 1 � �. . i � � j ��<°� Cr i y oF� S��L�:��, Ni��ss:�cxusL'i��s 11 �� Bo��x� oF H��L�rx 120 W��sx�croN S1�iu�2 4"'PLooR PubliCHealth � Prrrcni.Pmmo�u.1'mmct. T�.�. ��s� �4i-lsoo Fa��a� �4s-o3a3 IQM7313RLL,Y DRISCOLL. kamdinnn salem.com �IYOR Ln�iizr i��nau�N,as/�i��iis,c:i ia,ci�-r•s H�3At;P�T AGI;N'C 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 A'I�� ()Y� UN IT# �� IS THIS UNIT DIS GNATED AS RICHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER .� �l/(Gt (1��1,{�✓1G1��1 MANAGER/AGENT��/,1�� (/�C f� �(,( //l NO P.O.BOX —7 / // n � ADDRESS I l PC�� St. ADDRESS /a3 �(,�,�G,_� f'C(!l-% v CITY, STATE, ZIP�{'f(,�J'(,f/1�Gl�I , �2�ij yS C1TY, STATE,ZIP �V/nVi , l 1 i� • d �/� � RESIDENCE PHONE 5D� '�i3 Z— Q`335— BUSINESS PHONE(24HRS) [� � 1 � O g� � N�� BUSINESS PHONE i�^L�'' � � � '�'�Vy1 �'v i��Vl`� - TOTAL NUMBER OF ROOMS:_� � I� '� U ROOM USE: l. �I/�nc, 2. {Cheh 3. �/O��"m- 4. �e,�Q/a�l'�1 S.LbI �jpo,,yL /rr 6. ��n�Z. 8. 9 10 THERE IS A F[FTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAY LE AT THE TIME OF 1NSPECTION APPLICANT'S SIGNATUR�"�X v_ 1�.��. DATE ////2�T Inspectors use onlv Date on initial inspection: I � 'I�1 �� DaYe of reinspection: Date of issuance of certificate: Date fee paid: Type of uni � Dwelling Other Check# 7 $ �Check date: E�� Notes: ��1��1° l � �i�� L4 l ¢IK' ��h �p ��'�/�'P��{'to (�/�CX v Code fo mentlnspector t ' , } � .� � ��w��Y CII'Y OI' SALFM, Mr1SSACHUSLT'1S � -r_,� Bo��or HE��Lrx 720 W��sxiNcror� S1•xEEr,4"'FLaox PublicHealth PreecnL Pmmn�e.I'miec�. TLi.. (978) 741-1800I�.�:Z (978) 745-0343 1CfM13GItJ.,13Y URISCOLL lramdin e,salem.com �A�IAYOx L��i�il�Rr�nal�m�,�as/iu-:ris,c i to,c i>-r+s xi�:,�r:ri-i r�cr,N�r Release In ac:ordan�e with M_assachusetts 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 tenantllessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. - ��<��--� enandLesse Owner/Lessor I 3 ,2 b �� (l�'� L nn��cQ, bYl�- 6� 9YU � Addres � /�,/Q�� Address � �� 39 /�'cl/��r c��2— c�c�r�, m�' Address on unit to be inspected llli�/s� Date Updaled 5/23/I I CITY OF SALEM, MASSACHUSETTS , � � BOARD OF HEALTH . � • � 120 WASHINCTON STREET, 4TH FLOOR Sa�EM, MA01970 CERT.�k 493-03 ', FEE $25.00 TE�.. 978-74 1-1 BOO DATE: Fnx 978-745-0343 1��2��3 STANLEY USOVICZ, JR. ,JOANNE SCOTf, MPH, R5, CHO MAVOR � HEALTH AGENT 1 CERTIFICATE OF FITNESS � PROPERTY LOCATED AT: 39 HAgBOR STREET� UNIT #" 3 OwNER/AGENT: 39=41} HARBOR STREET LLC ADDRESS: 15 VICTORY ROAD, 1141 'CITY/TOWN: DORCHESTER ZIP CODE: p21ZZ 24 HOUR PHONE: 617-287-0822 AN ZNSPECTION OF YOUR VACANP DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS IIAS BEEN APPROVED PND 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�TI-TE � SALEM BOARD OF AEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMOM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FZTNESS FOR HUMAN HABITATION" . SECTZON 410.400 (B) : DWELLING UNIT (%) AND 410.400 (C) : ROOMING UNIT. ( ) - MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: TAIS 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 � i��- ��- � 1�� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r • CITY OF SALEM, MASSACHUSETTS ��111 ` . � BOARD OF HEALTH , /�� • � � 120 WqSHINGTON STREET, 4TN FIOOR �6 , SALEM, MA 01970, � T E L. 978-741-1800 FAX 978-745-0343 ' � STANLEY USOVIQ, JR. JOANNE SCOTT� MPH, R5, CHO � MAVOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F R HUMAN HABITATION". PROPERTY LOCATED AT J � ' �(��(E/C�� J� UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEF i FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �' Y'� ��Q��f MANAGER/AGENT/f1G,G�0�77��-/�� No P.O. Box ' /, n, No P.O. Box ADDRESSI�Y/CZ��2� /�G( `'�yl P,DDRESS • cin ,�0'�G�2eot�r �l� a�aa�ciTr RESIDENCE PHONE �O/��aF(7'��a',-BUSINESS PHONE (24 HRS.) �o/7-a.�7 a��"�-- BUSINESS PHONE TOTAL NUMBER OF ROOMS:� ROOM USE: i.�J�2. �e�3. � 4. /�G�Gstc.i� 5. ✓/� 6.�n 7.�c2_8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, P YABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL ALT DEP R E HIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPUCANTS SIGNATUR DATE o1 0.3 ' 1NSPECTORS USE ONLY DAT�OF INITIAL INSPECTION 9 - 3�I - o� DATE OF REINSPECTION �, DATE OF ISSUANCE OF CERTIFICATE:�I - �"� �i3 DATE FEE PAID:� � �d 3 TYPE OF UNIT: DWELLING_OTHER� CHECK#.�,S�CHECK DATE S- a-:i J� NOTES: � ��`� CODE ENFORCEMENT INSPECTOR 9/28/98 � � _, , � . co CITY OF SALEM� MASSACHUSETTS v� '� , �' � . � BOARD OF HEALTH �� i 120 WASHINGTON STREET, 4TH FLOOR � � �iAo'' SALEn�t, MA 01970 �9aq��—� TEL. 978-741-1800 � Fnx 978-745-0343 ' KIMBERLEY DRISCOLL JSCOT7@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#214-08 DATE ISSUED: 5/13/2008 Property Located at: 39 Harbor Street UNIT#6 Owner!/{qent: Meropa Dayos Address: 400 Nathan Ellis Highway City/Town: Mashpee, MA Zip Code: 02649 24 Hour Phone: 774-238-0367 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. Cenificate 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 s�� HEALTH AGENT CODE ENFORCEMENT INSPECTOR � � ._ � � a� �� Msy 13 08 12: 43p Joann¢ SCOOE Satem HOH 978 745 0343 p.2 �_� i - --- :__�--.. . . . . - - �, . ... . �--, , cir�r or >�m-.- =- - _. ��. - — - ° Rnaaniir.liFaLi:. `_ - I - - - _ -- �tv v nanu..,..._.....1.::'.:�': :�_ Ttit..(97t�741•1800 K,[biTiSR12?Y DRISCUI•1'. FAX(978)745-0343 Mt�YOR , ix'<rr .ni.r.m.f,OM )i)ANNL•'S�Q1T, ([Eu.z'r�/�c+errr e " ' ! _ w" l�.._�1^__a. ..iT.:1..ua�e i�ppuca'u"vu wa ..,cc::=-�___ --- - ---- _ _ - •aY�Mt�f� �Y 1Y�[ f^\AY Al__::._.. tN ACCORDANCE V1RTH STATE :;r_=___'- ; "� -. - =,- -: - '_ - -- - - --- ==:=ti�nft1?S4FFITNESSFORIiUMAHAts►►A�i�i�.� PROP£RTY LACATGU AT - --3�I -� 1�t✓�a✓ S�T' l DJ UNCTt��.� ISTitSU(vITDISIGNATEDAS��GH9'L6R�RR ONTORB ' PLEASdCIRCLRON6 OWNG1t/t,ESSfR'��^�U`�� ,e, �ti a MANAQEIV AGBNT r,o r.a sox \1��v-v� ADllRESS_y�-t' N�t�+wn F 1� DILbSS_. , - �y�'IrS C1TY,5'i'ATE,ZIY,L�w .. �' �'Z�°`�`� CTIY,STATE,.7,IY_ R�sivsNc�Yxoxe 5��^"I'��^ J�°iL _DUSIN�SSPHON�(Z4HRS) �'1`�^ Z3�-�3c�"7 �USIM?SS YHUNN. T01'Ati NUiN BEIt OF ROOMS:_,� , ROOM US�: L•,�l..en 2. l� i�.t� 3 I��n�� ' a �, w�5. � �. 7• B- 9 IU. THLRE IS A 1'WENTY-F►VE(S25j AOLLAR FLC+,PAYABLL 13Y CKECK OR MOIdEY ORDE�R TO THI�CTTY OI' SALFM DOA1tD Or itl?AI-7'H TN�S PRP TS PAYABLG AT TfiE TRdE OF INSPI'sCTIUN qPPLICATffS SIGNA'G&iFCE�^^ �`' AA'1'k 5-�3�8 �i�spectors use unly Date on initial in3pextion: 5' 13 'a`` _, Unw of rcinspxtion'— pate of iscuanee of caitificato: S�' �3'� Dxte fee paid: 'S" '3•c�' lype of unit. Dwelling �l Odi�x Ch�ck as�33�acsyo�mocr aaee: S� �6�' NOtCS: '�R�a,-aa StavE3a�� aN s+v.� .� oano �+ - 2cT��+�M—`��,�b1 S.�4K� �i, �r�� .- _ g,- o,,a.. �T �. �+�c�� 1� �31a� c3�1 - C e � orc� t olr aoo�aoo a z�a�sE5ao5 a� Xr� ��iaow 000�a�Hs tE�� i�eootiE�tan� � , CITY OF SALEM, MASSACHUSETTS � � BOARD OF HEALTH � • � 120 WASHINGTON STREET, 4TH FLOOR ' ' ' SALEM, MA01970 �RT.# 513-03 FEE $25.00 TEL. 978-741-1800 � DATE: Fnx s�e-�asosas 10/2/03 STANLEY USOVIGZ, JR. JOANNE SCOTT, MPH, RS. CHO MAYOR HEALTH AGENT 1 CERTIFICATS OF FITNESS � PROPERTY LOCATED AT: 39} �RBOR STREET UNIT #' 1 OwNER/AGENT: 39-41} HARBOR ST. LLC ADDRESS: 15 VICTORY ROAD, 1141 CITY/TOwN: DORCHESTER, MdLIP CODE: p21Q2 24 xOUR PHONE: 617-719-8908 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING VNIT 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�TAE 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 AUMI�N HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (%) AND 410.400 (C) : ROOMING UNIT O . 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 'V%Mstal service CERTIFIED MAIL RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) M 117 Postage $ r, C3 Certified Fee zr I Postmark pvdj,n pece're,Fee Here tErsdomemert Required) E:3 C3 Restricted Delivery Fee r3 dEdosesseeret Requirecl) C3 Total Posts"&Foes $ r3 Nanto(Please Perif clearly)(to be completed by ecitif-e stwt,V(-wa--i;�-pbaj;-,�io----------------------------------------------------------- ------------------------------------------- -------------------- ---- Certified Mail Provides: 0 A mailing receipt III A unique identifier for your mailplece 2 A signature upon delivery III A record of delivery kept by the Postal Service for two years Important Reminders: • Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. • Certified Mail is not available for any class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. • For an additional fee,a Return Receipt rri be requested toTrovide proof of d e To obtain Return Receipt service,p ease complete an 'attach a Return e"V,'(PS Form 3811)to the article and add applicable postage to covet the Race p fee Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. • For an additional fee, delivery may be restricted to the addresseei or addressee's authorized agent.Advise the clerk or mark the mallpiece with the endorsement"Restricted Delivery". • If a postmark on the Certified Mail receipt is desired, lease present the arti- I cle at toe post office for postmarking. If a postmaX on the Certified Mail I receipt is not needed,detach and affix label with postage and mail IMPORTANT.,Save this receipt and present it when imaking an inquiry. PS Form 3800,July 1999 Reveme) -« „ , i � �o CITY OF SALEM, MASSACHUSETTS �-�� '�, BOARD OF HEALTH � 120 WASHINGTON STREET, 4TH FLOOR �� . �Rp SALEM, MA 01970 � �� TE�. 978-741'7 800 /� L iD 3 � �p"� Fnx 978-745-0343 V ` C�,.}�' STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT August 14, 2003 � 39-41 % Harbor Street LLC 15 Victory Road#41 Dorchester, MA 02122 Dear Sir or Madam: In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.000: 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, an inspection was conducted of your property at 39 '/z Harbor Street#1 conducted by � Pablo Valdez, Code Enforcement Inspection of the Salem Board of Health, on July 31, 2003. An inspection of the dwelling unit at the above address has revealed that it does not comply with the Massachusetts State Sanitary Code Chapter 11: Minimum Standards of Fitness for Human Habitation. Therefore, a Certificate of Fitness cannot be granted from the Code Enforcement Division of the Salem Board of Health and the unit may not be rented or occupied until the noted violations have been corrected and a reinspection has been made. VIOLATIONS: SEE ENCLOSURE: ONE OR MORE OF THE NOTED VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS. Please note that some of the necessary repair may require permits for the Building, Plumbing, Electrical, Fire or other City Departments. These must be obtained before the work is commenced. FOR THE BOARD OF HEALTH REPLY TO �l� /�� ' Joanne Scott Pablo Valdez Health Agent Code Enforcement Inspector Este es un documento legal importante. Puede que afecte sus derechos. Enclosure CERTIFIED MAIL 7099 3400 0009 4079 0603 JS/mfp � r. . . . � ' ✓ � r CITY OF SALEM HEALTH DEPARTMENT �� t ��' Saiem, Massachusetts 01970 39 %z Harbor Street 39-41 '/z Harbor Street August 14, 2003 Kitchen - Repair the floor under kitchen sink. [ �� Repair of replace kitchen ceiling tile. �V Bath Room — Replace missing light fixture cover. v Back Bed Room — Replace missing light fixture cover. `� Repair or replace front door. 1..� NOTE: Reinspection in 2 weeks. \ Z.f � � ` CITY OF SALEM, MASSACHUSETTS � . ,� BOARD OF�IiEALTH • � 120 WASHINGTON STREET, 4TH FLOOR �} SA�EM, MA 01970 '� ^7� /(/� TE�. 978-741-I800 (�� // FAx 978-745-0343 ' �� STANLEV USOVICZ, JR. �pqNNE SGOTT, MPH, RS, CHO � � MAVOR HEALTH AGENT � APPLICATION FOR CERTIFICATE OF FITNESS IN ACCOFiDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANOARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT c3'! �� ►�(Jf ST(-Qe'�' UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEFULESSER ,3q—��/bt�"Sf �ANAGER/AGENT_yVI11.30 -�d'IvfY'IY/ua'it$ No P.O. Box No P.O. Box ADDRESS I S ��'Cf� R 1� �� ADDRESS • CITY �U�le1W� {�pr Q�'�a'2' CITY ' RESIDENCE PHONELtOI��a�7'��Y BUSINESS PHONE (24 HRS.) 1� 7� 'P�'168 BUSINESS PHONE TOTAL NUMBER OF ROOMS: �P ROOM USE: 1. CP� _2. � 3.�4. �.�✓'^3 5. �W�'!.�^r�- 6.��^ 7. 8. THERE IS A TWENTY-FIVE($ 5. )DOLLAR FEE AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA EALT D A E IS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPUCANTS SIGNATURE DATE � a3 INSPECTORS USE ONLY AATE OF INITIAL INSPECTION 7-�� -a"".3 DATE OF REINSPECTION�-a 6 -C�3 DATE OF ISSUANCE OF CERTIFICATE: �/ � �' � ��3DATE FEE PAID: �- 31 � � TYPE OF UNIT: DWELLING(�OTHER_ CHECK# �b G CHECK DATE ��—�� NOTES:_Jsr�2'�-, s✓J � \S- _� 3 ��_ 5..�z n. j'o,.,.�.,.�i, a,,,-„-, _ �.��L>v v �`� —�Co�--� R�t rL S-6-03 �'e..-�#.pe,-.a. / CODE ENFORCEMENT INSPECTOR 9/28/98 ; �. � � � � j , l � f-/l�j 2 6 D �Z � � �C� ,Q 2 . �'� ,:: +� �r� ,% / , � K%,.� /` I tG�'1 �/U . �� t/�v7�e /L �l ¢ �.4- � V�-- i..l ._. ,.1� n_ k � �-�� g ti s �� ,�i� � �o � �i �� ._ � . �,. ---� ,�+i � � -�:�zt...rd��..��- �:. '/ . .� , X, / �G�.e -v ' e , l, � . _�p �- . - /;,r � ��t-_ . C d . Ks�'� C� e � ��e A-� , . , _ � . � . _ , .. ' . � . j:.Ry, l�yq. f'li.. �� a � '. ,� 5 � f- /�' _ r � N- S ,�:.C.o I/e ✓L .,. .;,,, � � � e ��d o .� g .4-� �� G,,,� � kT��.� � �� Q �, '_ �. , �, � � �,.. l c�Q p�,. � .ti e �. Pl� � .e. ` �� .... � � �L � ' ,. , , , � �.��- s � �� -5 � - � .*. � . . , �� ,. �, .e . ��_. . , - .:;.-. . . . : ., .. �� . . �- � .. . ,�� , d� �� ¢ /� �� J �.��-� � , ��/ s - ` '��,� � iE �` ' - .. ' . ry ,G"„�- _�k—�'�,�.� �� ' , � ., - . . :k.^ �;'�, a � ` �, + , . , ---�: ° _ _. _ �, � _. � , > • 't ° , 5 � . . . . � � ' ."� • . `• /I��III'� �� 1C!�� .f . ` ' v \ � �� X; n � n�� . . W � .� � � ... � . • ' 4 . ��1��. � .: . �. W. . � , ;- � . �� . � . � � . . r� /2�-�-, � � � . , , . � ��`Y2"D S'%al� • � _ � . ' '. . . ; . � ° � : k » - �� , , ; _ �� ., �s� �— Y�..,., — �,� � �'� ,, , . , 7�..�. ' ' ` . . � _ . .��,� , . , , a _ �,�,,,J�' d� '� � �� '/✓1/(�V6 �l'� / I V_It/�� "� l .. � . .. �� '� I;Y�,�-, G�►�`-, , �-- , ,; , : , `. , ` -p ' • ��' ' ' � �, .� a , . .� � ...,� ��//�/yp(�� /�-�: - �� . . . . . � �� V � � �`...... .�... _ �Y. . 4 � �� ' /� � � ��g,�lz' � �� I � 'R o CITY OF SALEM, MASSAGHUSETTS � � BOARD OF HEALTH p � 1 20 WASHINGTON STREET, 4TH FLOOR � . � SALEM, MA 01970 �� TEL. 978-741-1800 Fnx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 123-04 DATE ISSUED: 04/01/2004 Property Located at: 39 1/2 Harbor Street UNIT# 1 Rear Owner/Agent: 39-41 1/2 Harbor Street LLC Address: 15 Victory Road #41 City/Town: Dorchester, MA Zip Code: 02124 24 Hour Phone: 617-719-8908 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. O/✓�OAR�TH V � � 1 JOANNE SCOTf, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR , ! ,�,.i, ,E CITY OF SALENI, MASSACHUSETTS ��/b� � BOARD OF HEALTH I � • 120 WASHINGTON STREET, 4TM FLOOR ' SALEM, MA 01970 T E L. 97 8-74 1-I 800 - � FnX 978-745-0343 - STANLEV�USOVICZ, JR. JOANNE SGOTT, MPH, R5, CHO . MAVOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 470.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ��/o� �IC11 K/OY �� UNIT# �� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�/�- �/��Ifu/�/Y S'�L�p qNAGER/AGENT !/YJ%/�b lJLt/�P.3��n�S No P.O. Box No P.O. Box ADDRESS� �(CTIJyL� �iMl� `��{� ADDRESS S'�� CITY ( �2�� {/j/�/� (��a a• CITY r RESIDENCE PHONE�I'?'as'7'6��a' gUSINESS PHONE (24 HRS.)_Fof^J171��9U� BUSINESS PHONE TOTAL NUMBER OF ROOMS: � ROOM USE: 1. Uc� 2.�je�. 3. � 4. �-1J�' 5..cw✓1 6. ,�ti�7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SAL HEA TH D ART ENT THIS FEE IS PAYABLE AT THE TiME O�INSPcCTION. APPLICANTS SIGNATUR DATE� INSPECTORS USE ONLY � DATE OF INITIAL INSPECTION ��-( `' b' � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: �-F -- r -0 � DATE FEE PAID: �( � a —� u TYPE OF UNIT: DWELLIN OTHER_ CHECK# � 3 7 CHECK DATE�E `� a � NOTES: � CODE ENFORCEMENT INSPECTOR 9�28�98 �� ' +�, CITY OF SALEM, MASSACHUSETTS „S �! '� BOARD OF HEALTH i � ry � 120 WASHINGTON STREET, 4TH�FLOOR CERT.# 180-03 I a SALEM, MA 01970 FEE $25.00 �� TEL. 978-741-1800 DATE: OS/O1/2003 Fnx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 39 1/2 Harbor Street UNIT #� 2 OWNER/AGENT: 39-41 1/2 Harbor Street LLC ADDRESS: 15 Victory Road #41 CITY/TOWN: Dorchester, MA ZZP CODE: 02122 24 HOUR PHONE: 719-8908 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, "MINIMIJM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF AEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIM[7M 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 O . � MININNM 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 978-741-1600. � FOR THE BOARD ,O/F HEALTH � f . ! � �T� � t;��-�/�x�Ci JOANNE SCOTT, MPH,RS,CAO HEALTH AGENT CODE ENFORCEMENT INSPECTOR "'"—.._� ..:�.+w - y..�''�-3 " `��i3"��Yr7 , .;.:. _.�. '�r�. ` .i u��dt�;'y�,33�, ��`��•'��'��' „ : . "S'��n"„ >�_' ` . .�,x -. � . . . f .„. :: r. ! �� . . . . � .�. . 1� . i..; � } • • � j �1� }!y y F�T i`''� 1` . �i �' - , �o `�`�,�CITY�OF SAC.EM;MA SACHUSETTS . � x��z ;��e�3�3 . "� � ry %� � � BOARD OF HEALTH��`� � ' �/(��U�6� ' 3 � � 120�WASHINGTON STREET,�4TH FLOOR� '• - . ' � j " • : '� . � - � _ SALEM, MA 01970 � � �,a,� � TE�. 978-7;41-i800 - . .- - . hAX `.J7B-%4J-UB4J STANLEV USOVIGZ, JR. JOANNE SGOTT, MPH, R5, CHO �� MAYOR HEALTH AGENT � . . i ' . ' - � ' . . _ .. : _ , ' � _ . . ... . -., - . . . . , . � . � � . .. _ ... . . ({�. . . � } ., k APPLICATION FOR CERTIFICATE OF FITNESS , � �� ; -� - � IN ACCORDANCE WITH.STATE SANITAR..Y.CODE,_CHAPTER II, 1;05 CMR 410.000.. .. , g; �r_ , I 4 _ "MINIMUM STANDARDS OF FITNESS FOR HUMAN;HABITATION". • � �' PROPERTY LOCATED AT �Q �I� �[�2�� (PPI UNIT# 2 I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE ' ` ' I OWNER/LESSER�-yl�lz. Ncwbor_5��GE ENTl�'��SJ'Y�.��Y�, }_ _ : . . . . �� , � � ; � ,, .<. . _ u .NoP.O:Boz' '- _ ;NoP:O:Boxr-'�. :__ � _ . ..: . _ . . . s r - � I ADDRESS1, viC`�nY�a � � `-I i ADDRESS15 Vic-l-or� ,. � . �4� � r a , CITY�YL�IP�r �� . f'�217Z CITY�hrc��s�n .1Mp . n?�ZZ, l „ ; :, -RESIDENCEPHONEC411-2�57-OC'SZ,2BUSINESSPHONE{24HRS�)cp�� .��G-F590�j , � - ,, ; , - N . -- - , - ! -" - 6WSWESSP!iO�NE Ci>i'l- Z8'7-�FSZ2:= ` . -- , . �� i,.. .:.;.'Xa. '`.. _"-'4e` _ r:R:.l . _ . ..._ >-� � . . ::c: �::.«..... . .. - ..g.:.�. 7 . , . " � ' � TOTAL NUMBER OF ROOMS: - ' ' ROOM USE: t��_2:\t,,�. Ytnm 4..�r�ron�tl: x. .,• a , . � . . , _ . . _ � . �_ s. s. ��. s. - -- l� . . THERE IS A TYJENTY=FIVE($25.00) DOLLAR FEE,.PAYABLE.B-Y:CHECK:OR MONEY, , ' 'I�' ORDER iOTHE CITY OF SALEM HEALTH DEPARTMENT THIS FEE•IS PAYABLE AT THE .e �' , w �:TIMEOF'INSPECTION: _ _ s " _ �:7,..:�., .." � _t :� � ' , APPLICANTS:SIGN,ATURE��2`vs ��5�� DATE -I � a : . INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ��I ' ��I S DATE OF REWSPE6TION - ; . `i DATE OF ISSUANCE OF CERTIFICATE - � � � DATE FEE PAID,� - l -O 3 i If � TYPE OF UNIT: DWELLING�OTHER_ CHECK#/ �'��a CHECK DAT ��7� ' Y . i NOTES: ,' ' ;� — 1 .. � r ♦ � - � , . � �1 � � #..�.. ... .��zl �.��..� . ` � :� . + >�ti � e, ;. �. ' . . 'i �:..f :_ � ..a�i� .3'; :.�. � CODE ENFORCEMENT INSPECTOR ' 9/28/98 � �. � f , uvs��.3c�) . . I Vy � , ,.�- ` °��n'�� City of Salem, Massachusetts a � / • i Board of Health. � '� '�T 120 Washington Street, 4th Fioor, Salem, P11i�iCHealth 0 P�event Prnmota Prottct. MA 01970 Kimberley Driscoil Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-236 DATE ISSUED: 8/9/2017 Property Located at: 39.5 HARBOR STREET UNIT#3 Owner/Agent: Natasha Buryak Address: 97 Billings Road #3 City/Town: Quincy, MA Zip Code: 02171 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unif, 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 cented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certiflcate 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 lawtor occupants under 6 years of age. �—:�"�! l.� o , Larry Ramdin, MPH, REHS, CHO II HEALTH AGENT SANITARIAN II,I v � � � � CI7"YOI� S,1] L�.M, iV1��SS��C'�lUSCTTS S�r�� ft��iii�<�i Ili V,iii �"'3'� 12�W 1SH1:VGf0� b LRI L�f,4 F�LQOR �rrr_. ��»s� �4�1-isoo KIMI3ERL�,Y DRISC01,1. F:�X (97 81 7 15-0343 NI�IYOR r.i�M�r�ric��t,eM.��omi L,1RRY K.A�7DIN,RS�REHS,CIiO,CP-F'S I-IG;11;17�1:1G1:?N"1' Application for Certi�cate 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 39 1/2 Harbor st, Salem MA 01970 UNIT#_3 _ IS THLS UNTT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER Natasha Buryak MANAGER/AGENT N/A NOP.O.BOX g� gillings rd apt 3 ADDREss ADDRESS CITY, STATE,ZIP Quincy MA 02171 CITY, STATE,ZIP RESIDENCE PHONE 781'513-7391 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 2 ROOM USE: 1 (� 2 � 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYAB E AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE /� DATE 7/29/2017 Inspectors use onlv � Date on initial inspection: Date of reinspection: Date of issuance of certificate: � - Date fee paid: Type of unit: DwellinQ Other Check#�Check date: Notes: Code EnforcementInspector w .- . � 6 • � CITY OI� 5;1I:.,}_?N[, M�\SS:\CHUSI?TTS � ��z� E3c>�Hnc�i Ili :�t rH �� 12�\X 1tiHNC,7.UA ti I RI.F.l.4`"F�LOUR i'r,:,r.. (9 i 8)741 18�0 IiIMI3ERLEY I)R15COLL F:1K (978) 745-0343 � MAYOR taeM��m(6JsacsM.con� I,ARRY R.AYfpIN,RS�R7iSHS,CHO,CP-F'S I-IIiAI:I'I I i�CTiN'I' 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 ownedlessor and , tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. Uwe expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. TenanULessee Owner/Lessor Address Address Address on unit to be inspected Date Updared 5R3/l1 Inspection�f ' Date Time � . Name Address `� � Owner Tel. No. — n�,/ � p � Typeoflnsoection l ,t ��oLl�_ Inspector ( ' ) Remarks and Violations are listed below: i�C-��Ilfi'�'��-� (� � CC ��r� �� '-� � �aa�`��,� n - ° - Ki�{�' .��I��.�� 1� I� ��..P�.��I � ��`��l�Y'�'(�� C��.��(1 —�C' �� ('r� p�� — — _��h�z��.'.��a�.r--�o.�� -�`�� r.�- �� C(1�1�� S�Y�.��m 1��hP (�� — , . . � -�' � { � sE+�- I�vr � ti Report Raceived by: ! ,' CITY OF SALEM, MASSACHUSETTS g � BOARD OF HEALTH n � � 5� 120 WASHINGTON STREET, 4TH FLOOR CERT.# 265-03 r o' SnLEM, MA 01970 FEE $25.00 .�� Te�. 978-741-1800 DATE: 06/04/2003 Fnx 978-745-0343 - STANI_EY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 39 1/2 Harbor Street UNZT #: 4 OWNER/AGENT: 39-41 1/2 Harbor Street LLC ADDRESS: 15 Victory Road #41 CITY/TOWN: Dorcheater, MA ZIP CODE: 02122 24 HOUR PHONE: 819-8908 � AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED P.ND 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 DZVISION 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 ( ) . MININNM 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 / �� /��'Y ' JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i i E 1 t� . . � . , CITY OF SALEM, MASSACHUSETTS 3 � � BOARD OF HEALTH �1 „a • 'r 12O WASHINGTON STREET� 4TH FLOOR / SALEM, MA 01970 T E L. 978-741-1 800 � � � FnX 978-745-0343 ' STANLEV USOVICZ, 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 �J� �/� CC�� l� �Y UNIT#'� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER�7I��TTQ/�xi�'Sf L.L-1GIANAGER/AGENT /�I�/�p-LYI1/BSTi79Ps1r5 No P.O. Box �� - �7"� No P.O. Box ADDRESS %S� Y/LtGYt-1 !<Cl ��{� ADDRESS CITY � 1�U'1�S'Te/ ./�l/f" �'ld'a- CITY RESIDENCE PHONE lo/7�d�'7 C��' BUSINESS PHONE (24 HRS.) Co/ 7 �7(�'Y�0�' BUSINESS PHONE TOTAL NUMBER OF ROOMS:�_ ROOM USE: 1.�_2. 6LLL� 3. ��( 4. G�v'�P 5. i�.. 6.�7. 8. THERE IS A TWENTY-FIVE($25. ) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA E HEALT DEP TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. I APPLICANTS SIGNATUR DATE�� INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �� `� b � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE� � �� DATE FEE PAID:�- �'� j TYPE OF UNIT: DWELLIN�OTHER_ CHECK#_�� 7f / CHECK DATE�_v3 —� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 R :� � CITY OF SALEM, MASSACHUSETTS 0 6 BOAflD OF HEALTH � � 12O WASHINGTON STREET, 4TH FLOOR � SALEM, MA 01970 TEL. 97H-741-1800 Fnx 978-745-0343 Kimberley Driscoll �WSALEM.COM Mayor JOANNE SCOTf, MPH, RS, CHO � HEAUH AGENT I CERTIFICATE OF FITNESS CERTIFICATE#265-07 DATE ISSUED: 6/7/2007 Property Located at: 40 Harbor Street UNIT# 1 Owner/Agent: Lorenza Toribio Address: 40 Harbor 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 Certifcate of Fitness is valid only if there is a valid Certificate of Occupancy. �FOR T�HE BCOARD OF� /�� r ��/ �IC�S� S ��OANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � � CITY OF SALEM, MASSACHUSETTS ( ., n �. % � '� � � BOARD OF HEALTH ��'I/}-a--L��/ • � 12O WASHINGTON STREET, 4TH FLOOR �4/ 'v � 7 � SALEM, MA 01970 TEL. 978-74 I-1 80O � � Fax 978-745-0343 � �(7u/�� -��'P�GC JOANNE SCOTT, MPH, RS, CHO �� 7X �/��` �71?y Kimberley Driscol� 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� J UJ� .3f UNIT#� i ' IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE , OWNEFULESSER�12ej4Zs4 '��.rS� t� MANAGER/AGENT No P.O. Box No n.0. Box ADDRESS�D �i��iJ!'S� ADDRESS CITY : �� /��• CITY RESIDENCE PHONE, �.1�- 7LjS= ��J BUSINESS PHONE (24 HRS.) BUSINESS PHONE I7�.- �LdG - /70 �_ TOTAL NUMBER OF ROOMS:�_ ROOM USE: j.��2.�1/�s-v 3.�d�4. dto�r�un 5�L'dvL,�6. 7. 8. THERE IS A TWENTY-FIVE($25.Q0) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TiME QF INSPECTION. APPLICANTS SIGNATURE DATE F'�' 7` � � INSPECTORS USE ONLY DATE OF INITIAL INSPECTION � —� ''U 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:� `� �_/� DATE FEE PAID:_�� 'U � , TYPE OF UNIT: DWELLWG �OTHER CHECK #y��CHECK DATE�'�—v� / .. NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 � CITY OF SALEM� MASSACHUSETTS 0 r � g�� '� BOARD OF HEALTH " \ 72O WASHINGTON STREET, 4TH FLOOR � ��o SALEM, MA O1 970 AB4�� TE�. 978-741-1800 Fnx 978-745-0343 . STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO �� MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#250-04 DATE ISSUED: 06/10/2004 Property Located at: 40 Harbor Street UNIT#2 Owner/Agent: Jose A. Guzman Address: 9 Bertuccio Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 740-9539 An inspection of yourvacant 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. F R/��ARD O��H l JOANNE SCOTT, MPH, RS, CHO � HEALTH AGENT CODE ENFORCEMENT INSPECTOR a . , � CITY OF SALEM, MASSACHUSETTS � � '� BOARD OF HEALTH � S O' O � � 12O WASHINGTON STREET, 4TH FLOOR J � SALEM, MA 01970 . �� TEL. 978-741-1800 � FAX 978-745-0343 - - STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO � , MAVOR HEAITH 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". PROPEFITY LOCATED AT "T� �'B'�`�� T UNIT# Zf�� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER � ° `''-'"`�MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDFESS CITY S+QCEM CITY RESIDENCE PHONE 'O�7�7� �✓✓9 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 9'76� 7y5-/S�6 � �X� //Z� TOTAL NUMBER OF ROOMS: 6� �� ROOM USE: 1:�•/7A2r1 2...��. ��P.uA. �E'�f200N` 5.�—°�6..�/h�--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 � �' `M9`— DATE 6 —�� y INSPECT S USE ONLY DATE OF INITIAL INSPECTION G/�`�)Y DATE OF REINSPECTION � DATE OF ISSUANCE OF CERTIFICATE: /a 0 Y DATE FEE PAID: � Pa o TYPE OF UNIT: DWELLING _✓OTHER_ CHECK# 2��L CHECK DATE�p�e NOTES: ""�-" Z��2/^'�/`�� — — — CODE ENFORCEMENT INSPECTOR g/pg/g8 I _ '� � �,�ONINT i �� , � � � � � C �y��fllNE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-7800 O1/26/2001 Fax:(978)740-9705 i Jacqueline Guzman 40 Harbor Street ' Salem, MA 01970 PROPERTY LOCATED AT 40 Harbor Street UNZT # 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. I � Please contact this department within One Week of receipt of this notice at � 976-741-1800, to schedule an appointment for an inspection. Our office hours are Monday ' thru Wednesday from 6:00 a.m. - 4:00 p.m. Thursday 6:00 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. � F R THE BOARD OF HEALTH REPLY TO i � oanne �Scott, MP�O PABLO VALDEZ �i HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH . `� � 120 WASHINGTON STREET, 4TH FLOOR o' SALEM, MA 01970 �� TEL. 978-74 1-1 800 Fnx 97H-745-0343 � STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 39-41 1/2 Harbor Street LLC 60 William Street Suite 200 Wellesley, MA 02481-3803 PROPERTY LOCATED AT 41 R Harbor 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 tenanYs entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. �r the Board of Health Reply to 11��<1 ��_ Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector ; ,� gONDfT •.`'° � � z. CERT.# 269-01 � � FEE $25.00 � � � DATE: OS/14/2001 � �� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, fiS,CHO HEALTH AGENT Tel: (976)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 41 Harbor Street UNIT #: 4 OWNER/AGENT: Mibo R.P. c/o Paul Canty ADDRESS: 10 Mount Auburn Street CITY/TOWN: Watertown, MA ZIP CODE: 02492 24 HOUR PHONE: 924-0824 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVS ADDRESS HAS � .BEEN APPROVED AND IS IN COMPLIANCS WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMOM 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, "MININNM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT O . 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 978-741-1600. FOR THE BOARD O�H e . (�J� � � `� V JOANNE SCOTT, MPH,RS,CHO � fiEALTH AGENT CODE ENFORCEMENT INSPECTOR , ,� .,,„ f, � � � ��T ��y�ai..,. . �� , �� f � �� 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 ��'D/�— >"Y " UNIT#� IS THIS UNIT DESIGNATED AS IR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER �i MANAGER/AGENT�r� iVo P.O. Box 1 No P.O. Box '" ADDRESS /D M �ni� � )�l�)(� � �T� ADDRESB �—��— E.�--- r� cirv� G�eST�)A) /��ciry RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE bf 7" �� SS��{ TOTAL NUMBER OF ROOMS:� � ROOM USE: 1. �coo 2�WCrrnn 3. �Tc.Ler� 4. Food1 s. �J� s.��a� �, s. THERE IS A TWENTY-FIVE_($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OP SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DAT �� ' `� 1NSPECTORS USE O�VLY DATE OF INITIAL INSPECTION 7 ' ��'� � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: S ''��F '�DATE FEE PAID: S%��v� TYPE OF UNIT: DWELLING�THER_ Cy�H,�ECK# CHECK DATE �� I � �U � NOTES: �� '°'v�f6 ��iQg �3 CODE ENFORCEMENT INSPECTOR 9/28/98 `�a ^' CITY OF SALEM, MASSACHUSE"fTS 0 "�� '� BOARD OF HEALTH � * 120 WASHINGTON STREET, 4TH FLOOR � � CERT.# 70-03 � - Sa�EM, MA 01970 '�s" FEE $25.00 � TEL. 978-74 I-1 800 Fax 978-745-0343 DATE: 02/25/2003 STANLEV USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAVOR HEALTH AGENT � CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 41 1/2 Harbor Street UNIT #: 1 OWNER/AGENT: 39-41 Harbor Street LLC c/o Mibo Investments ADDRESS: 15 Victory Road #41 � CITY/TOWN: Dorchester, MA ZIP CODE: 02125 24 HOUR PHONE: 719-8908 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT ( ) . MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . �R THE BOARD O�HEALTH _ / �.:. l''t5�-'Xi1C.P,.:� �,�°'�q.z-.d";."" �iliv `^'� �� Wi � , JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR IIL [2.,.N�rm.r�S�F��Y,.�:•a�?�FT"Ft�. : � _.��'��mi'��03'e.'�� ,�L�4.Tt%'R'c`�-1�.p'Yrt��'-..wY�'.. . . .�.. ywv� i��[F1�[ G YYt Zs'c.� . '.". , t...'.. . *,»n ��A x.,..:.Y.. ... -. . . . ., ^� . . . �. � - � . " ,'� " � ' #. .,y. � k��t i'.. .�f"'S''Pt$C� � �- . ` .. . � - � ' -. .. ��„�r #�� CITY OF SALEM;'MASSACHUSEl'i'S � �'�t " « `r �� , , �„�.E ,.,. r , . - a i, 2 �Y � BOARD OF HEALTH - J � • �s � � - 120 WASHINGTON'STREET, 4TH-FLOOR ' �� - - � /7 < .`� � / � SALEM, MA 0197.0 � / 3 T E�. 97 f3-741-1 800 ��'-�r,r.-..+,.a 9 . . � - YAX yio-/4J-VJ4.J ' STANLEV USOVIGZ, JR. JOANNE SCOTT, MPH, RS,'CFIO � MAYOR . � HEALTH AGENT ' . F. - - . . .. ! � ' .. • . I - -, � . -t � r , . . _ __ . . . . . �. . ,a,.:,.., � . _APPLICATION FOR C.ERTIFICATE OF FITNESS � IN,ACCORDANCE WITH STATE.SRNITARY;GODE, CHAPTER Ii,105 CMR 410.000 ,_._ - ' 'MINIMUM H�ANDARD$ OF FITNESS FOR HUMAN HABITATION''r ..- _ " k PROPERTY LOCATED AT y/ //c7 ��b� JI / �� UNIT#I IS THIS UNIT�DESIGNATED ASRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE - � _ ��-��f . �,t t � � � C�C . _, ,/ � � s OWNER/LESSER` �7 '' 7�/'1�Z�6v7�J�°: MANAGEWAGENT `NI��C� �� :>_�.�NoP:O�Bo � aq in✓��f:�re+�-FSwNoPO:Box _: . - _ _ - '��0 M � �� fAL`CRESS e �,J- i/i cTO�'N � �yI- ADDRESS '� i . . .� F �.- t a�.ii3 r •bF'.x..�s. - - � , ;�,._. .{,, :., ,��:. _ r. .. cirv��,�re.i cirr5� :I �t 1 1 '' r . s_�,�:.:� ..��, fi., . � -.� �: � . . , . I " =-`��RESIDENCE>PHONE k -F ~ *^�-'_ - �BUSINESS PHONE 24-HRS;) ��L��" �'�1D�' . .- , � � .._.._ � . � " � . t.:_. . ._ . . . . .' _" " _ "e-... _. .� . . . . . " . .-.�. . ' BUSINESS PHONE �fG / � )a�7'U�k��--" Ii. � . . _..��-�'� � a . "r��» '�'7��3Rg 3s §^`'..r 7$^� .. , . �#f�F�+�a.� �.�.�r,';� a e �.�,'�' Y . . .. . , .. � TOTAI:NUMBER OF ROOMS.� " ` � AOOM USE�1�_�i�/(v��2 b-td 3 �G� 4 .7Gz = ._ _ ; .� , r�,�,. < � w z - a. � Y _ �z , .�,:, ; ` 5�L/ul/l�g ' 7 ^85: � e'fHERE 1S A TVIIENTY-F.INE($25.00).DOLLAR FEE,.PAYABLE BY:CHECK�OR'MONEY ! � r-ORDER T6 TME'.CIPl.OF SALE EALTM DEP MENT THIS:FEE IS PAYABLE AT THE:, � � ' � �TIME°OF INSF?ECTION _„� •t i. :;'� i � � � r., _ r x ��:' °kz�m;�.:, ' �§," ' "; ; �APRLICANTS SIGNATURE DATE �5 �� . Y INSPECTORS USE ONLY DATE OF INITIAL INSPECTION,1-yS 63 DATE OF REINSPECTION . , i. DATE OF ISSUANCE OF CERTIFICATE: �,"3 �'°�DATE FEE PAID: 2 � 't- S "�3 � � : ,7YPE OF liNl�,.,DWELLWG j�OTHER ��.CHECK�# Y�S�. CHECK DATE2 -z��°3 � NOTES: �C/ ' ' � , — � � CODE ENFORCEMENT �� ;ir�e ._ � _. "��, _� . z�,�m'� �`� i:1'fii��"��., t . , "tt.y.." , ' . . INSPECTOR ' 9/28/98 • . . l. .� . 9 .. . . x �. Nr � P , � y . i - �. r . '}�ppA t:.�. . } $b ...f . . ' . ' f .I .. ' � � . . . 1 r . . . �I. ' ' . .. � ` ' 4 ' . � , ��o .� � ; � � CERT.# 28-01 a FEE $25.00 �'�c�� DATE: O1/31/2001 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: 41 1/2 Harbor Street UNIT #� 2 OWNER/AGENT: 39-41 Harbor Street LLC ADDRESS: 10 Mount Auburn Street . CITY/TOWN: Watertown, MA ZIP CODE: 02172 24 HOUR PHONE: 924-0824 . AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS , BEEN APPROVED AND IS IN COMPLIANCB 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 I2, "MINIMUM STANDARDS OF FITNESS FOR HOMAN HABITATION" . � SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT ( ) . . MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOSS NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 976-741-1800 . FOR THE BOARD OF HEALTH ��-�- . � � JOANNE SCOTT, MPH,RS,CHO � � HEALTH AGENT CODE ENFORCEMENT INSPECTOR i 4 � �i - . .�o�� . � � �� 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: (s78)7a�-78o0 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�� 2 ��Y�jV� S'IV�QzC UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER��1•�1\ SF_ �L MANAGER/AGENT �j�p �nU�fSS�nm�f1�,S No P.O. Box No P.O. Box ADDRESS I_ o YV1[��n�pp�h►JYV� ,S-� ADDRESS�],y��P �Q�h ciTv �.la�ex�a�av� vv��r� ciry RESIDENCE PHONE BUSINESS PHONE (24 HRS.)�p�� BUSINESS PHONE�P�� r7.� ��o� TOTAL NUMBER OF ROOMS: �Q ROOM USE: 1.�Ft�Q�Y 2. �-� 3. �PC� 4. - V��'1 6(VI 5.�6.�Oa � 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 U l� �/"1 DATE 3 O � 1NSPECTORS USE ONLY DATE OF INITIAL INSPECTION � `� I '� � DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: I J31 �O/ DATE FEE PAID: I -3 � - 6 � TYPE OF UNIT: DWELLING�OTHER_ CHECK#��CHECK DATE� l� a I NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 � .� �• � CITY OF SALEM, MASSACHUSETTS ' BO�RD OF H&�LTH 120 WASHINGTON STREET 4"�FLOOR PublicHealth o Prevrnc Promam.Prmect. TEr.. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL lramdin ,salem.com LdRRY R,\MllIN,RS/I2LHS,CI-10,CP-FS MAYOR � HliALTH AGEN'C I' -- --- ------- __-------CERTIFICATE OF-FITNESS- -- ------ ---------- --- _ CERTIFICATE#132-14 DATE ISSUED: 4/30/2014 Property Located at: 41 1/2 Harbor Street UNIT#3 , Owner/f\qent: Oleg Buryak Address: 39 1/2 Harbor street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 617-447-5473 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Cert�cate of fitness of rented dweiling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compiiance 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 Enfo�cement 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 � / ,� --- .... � ��C� _ LARRY RAMDIN HEALTH AGENT SANITARIAN • � m �� V " 7 CIT'Y OF SALEM, MASSACHUSETTS � - B(),1RD OF HE�ILTH 12O WASHINGTON S'I'REET,4�`�F'LOOR ��CH�� rr�.ene.r�omo«.rro�eee. TEc.. (978) 741-1800 Faz(978) 745-0343 KIMBL,RL�Y DRISCOLL lramdinna,salem.com MAYOR . LAR]tY R�AMDIN,RS/1tEHs,CHO,CP=FS Hi3��,rt r Ac i,N'r Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER I 1, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �J 1 ��2. i-I� ✓� l�j U�,f > � �N�`� �, S� � � M UNIT# � IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE C[RCLE ONE OWNER/LESSER 0�- F �� u l� �/.�K MANAGER/AGENT NO P.O. BOX aDD�ss 3 y �'% t rAr �'u st s v ti .vL � � anD�ss CIT'1', STATE,ZIP S �' C !- iL( N�" CU r �7 �-p CTI'Y, STATE,ZIP RESIDENCE PHONE �i I 1 -+�t H � - '3 '9 � 1 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL Ni1MBER OF ROOMS{ L% ROOM USE: 1. � ��;^c�'C.z�.2. f�:E i.G.c 3. �� (.-r.� 4. �' �-:x��.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 SIGNA'CURE� G /Ciir;/Gf DATE O � -Z-`�'� `' ,. Ins�ectors use onlv Date on initial inspection: ,� ' �0� U..i. Date of reinspection: i Date of issuance of certificate: Date fee paid: n C�^ Type of unit: Dwelling Other Check#�_Check date: r ' NOfCS: ` 7 Code rc� t Inspector � . , � 11 s T. ��? CI1"I' OF Sr1LT'M, MASSr,CHUSETTS +�'� Boat�n or Hr�L�rx 120 W�1tiHIAiGTON S'I"RFET 4��°FLOOR �b�1CHeA��}l ) P��v�.nl.Yimm�l�. Y�nl[cl. Tr.L. (978) 741-1800 F.��(978) 745-0343 T:IM}313RT I�S'D1tISCOT_L L'amdin(c�salein.com � L,�niev�i��nroiN,x�/xr.i is,ci u��,cr-rs . MAYC)R H1�.,U:fVIt1Cf?N'I' CERTIFICATE OF FITNESS CERTIFICATE#224-12 DATE ISSUED: 6/5/2012 Property Located at: 41 Harbor Street UNIT#4 Owner/Agent: Diane DeGuzman Address: 33 Essex 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. Certifcate 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 EALTH LARRY RAMDIN HEALTH AGENT ANITARIAN i � . Y � CITY OF SALEM, N�ASSACHUSETTS ( ��?� , B0�1RD OP HrALTH a�� I� �� 1ZO Wr1SHINGTON STI2�ET�41°PLOOR � TEL. (978) 741-1800 KIMBERLEY DxISCOLL Fah(978) 745-0343 MAYOR �..a��mnxN(cDs v.riM.con-i L;U22Y R;\MDIN,RS/RI;PIS,CIiO,(:7'-F�5 . HP.;V.;CIf AC;ESN'1' Appflflca�ion fox Certifflcate of�itness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "M[NIMUM STANDARDS OF FITNESS FOR HiJMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT T'I �Cti✓�✓ S� UNIT#� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �lG��^�- �� Cbt,�(.ti- MANAGER/AGENT ADDRESS � 33� �SS.�� S'� � ,qDDRESS CITY, STATE,ZII' _ ��(�✓`^� M�'C G� � 7 d CITY, STATE,ZIP RESIDENCE PHONE � �� S�S l(r ��L� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NCJMBER OF ROOMS: � � ROOM USE: 1. ��''� ��"- 2 ��"�--- 3. ��- 4 �� 5 ��+-- 6. 1,�„ a✓L 7. 8. 9. 10 THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTA THIS FEE I AYAB T THE TIME OF INSPECTION APPLICANT'S SIGNATURE - DATE b � I Z Inspectors use only " ✓ ,/� Date on initial inspection:�c�� 'Q� Date of reinspection: Date of issuance of certificate: Date fee paid:_ Type of unit: Dwelling Other Check#_� �h D _Check date: Notes: Code ement Inspector � °�ND'�"� City of Salem, Massachusetts � ,e t. �. f . T . i � Board of Health 0 120 Washington Street, 4th Floor, Salem, PublicHealth MA01970 PTevent. Promom. Pratec[. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor Iramdin a�salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-75-253 DATE ISSUED: 8/28/2015 Property Located at: 41 7/2 HARBOR STREET UNIT#5 OwnedAgent: Kevin Lamarre, Jr. Address: 437 Lawrence Street City/Town: Lowell, MA Zip Code: 01852 24 Hour Phane:(978)758-7915 Pursuant to the requirements of Ciry 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 F-� a Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANIT AN From:C9R6 SALEM 978 745 5706 08/27/2015 �0:00 #057 P.002/002 � . � �� ` � ��i (:17'Yc )I� S;1L��.n1 I11.�Sti-�(:Illltils.l.,l'� ��;; ' ` L.: �t„t. U I?i;:aui �I� II��:.v:fli r„„r.� . � I:?II\�'.\�III\�(;'1'��\ til'Itl�:l�:l. 11OI'L(1t.�R � � ��I�:�.. !�)��4i %��-�tiUl) FI\II;I:ItLI:I I)Itl��:� �IJ. I �� {9?tii 7-t�-u;�; iA�I_A1'( )k Ll��Uia[n.-�11tnLc:�»�. L�iir,i It ;aun�, a;/ititii<,�.iu �,�,r-i: I li �Cru \;;i �� , Application for Certificate of Fitness IN ACCORDANCE W1TH STATE SANITARY CODE, CHAPTER I I, IOS CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $SQ.00 / C, PROPERTY LOCATED AT �I �Z I'�,I� Q-�i�(L- �J - � � UN1T# S , IS THIS RNIT DISIf.NATED AS RICHT I,�FT FRONT OR BACK.PLF.AS6 CIRCI.E ONF. �mq� OWNER/LESSER �CV iV� L0.VV1 Q,,�� / 0 `�MANAGER/AGENT�][(Q/`ec+�D � NO P.O.BOX ADDRESS �3 � L/X(�/� l� C P . ��'�,ADDRESS Y 2 � �7�'� CiTY, STATE,Z1P_G�_� /�___�_ S� Z-. CITY, STATE, ZIP CG� �u,1 M A (��C� ?(� ' RES1DfiNCEPHONE D ' ��S [� • 7 �� J BUSINESS PHONE(24HRS1 U � � S� l ��lQ ; BUSINESS PHONE Ahdt�eU . �� L � Z �nU.t�eS,i�. TOTAL NUM176ER OF ROOMS:�__�__, ROOn1 USF,: I. �L L"� C 2. �- � � . 3. _ .� 12.. 4. f�/�d�6+Y\5. f�C�(�- �. 7. __H. �. i a. TH�RE IS A FIFTY I$Su�DOLL R FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM 80ARD OF HEAI.TH THIS FE IS PA ARLF �T THE T1ME OF 1NSPECTION APPLIC:ANT'S SIGNATU _ __ ' DATP�� ' � � L s� -la;s une onl Da�e un initiul inspeclion: D�f�7/.2�5 __ Date uf reinspec�iun: Date uf issuance ol cer�il'icate:�$ 2 �-0 � Date fee paid:�f��(-,y��. Type of unic Dwelling_�Othrr Check ri�Check dule:�2`��ZOZ.S� Nutes:�roe� �2r�est-Fror�p0.1 YOnM_�w ow w mi c Se/'ee �D}�2�14.�'tLdX_�Ld3T_+�J-- ' 'I'o b� ��d�G2'� er7- � .YVLr,vn p�S Wrf�lf� C de ifb �eipenl ln. �lur From:CBR6 SALEM 978 745 5706 08/27/2015 10:00 #057 P.001/002 e �� (,1'1'Y O1� �;11 ,1?�1, 1�1.,15ti;1(;I1LiSlsl"1'ti i. �� `�i IS� �UtU� y Ill'..�I:ril a� A \�� I?U\��.\�I II\i I�fc �\ ti�i�ltl(ICI,.I: : Ir�t n��H I I(I.. i9�hj !-I I-I tiUil I�Ipllilfltl.l[1' URI��:( �i.l. I��A �')iNi ?��-Ili�}3 �1.\l�c�it L,):�iuix(<i:s.u.rcji.c��.�i I.V;I;1-It \.�II iiA,li5j IiP:I I:,�7I� �.��P-I;� II1�\I:IIi \��i�:\7 Release In accordance with M�ssachusens Cenera] Laws Chapter I I I; Code of Massachuselts Regulations 410.000 el. Seq. ; State Sanitary Cude Chapter II and Article XIII of the Ciry of Salem Ordinance, undersigned ownerflessor and ienam/lessee of a unit of residenti:�l properly, hereby �uthorize the Salem Board of Health or its �uthorized agents to inspect the residence identified below in accordauce with the aforementioi�ed statutes, regulations and ordinances. In the event it is necessary thal said inspection be done in my/out absence. I/we expressly authorized the same und for my/ow� successors and assigns hereby release and disch�rge the City of Salem, Sulem Board of Heahh and its uuthorized ugents from any lose or injuiy susWined o1'whatever n:�ture und descriptiun uccasioned Uy my/out absence during said inspection. y —� � �.,.,._,__"". 7 anULes, e OwnerlLessur yZ < < �- (�� (.�eQ.s1,�x��'" ��c�� Addr �s Addre�ti �� _5 Address o i unit to be ins�ected � 2 2�1 � Date ui,a:u�d;n_sn i ; � ' CITY OF SALEM� MASSACHUSETTS � HEALTH AGENT �� $ 120 WASHINGTON STREET, 4TH FLOOR . �� SALEM, MA 01970 � TEL. 97$-741-1 8OO Fnx 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNESCOTT HEALTH AGENT . CERTIFICATE OF FITNESS CERTIFICATE#386-07 DATE ISSUED: 8/17/2007 Property Located at: 42 Harbor Street UNIT# 1 Owner/Agent: Kristeen Ho Address: 42 Harbor 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 / J AN� � �� C�SG- _ d T, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR `a CITY OF SALEM, MASSACHUSETTS � � , BOARD OF HEALTH ��4� � � , 12O WASHINGTON STREET, 4TH FLOOR �� ., SALEM, MA 01970 � ' � Te�. 978-741-1800 � - - FAx 978-745-0343 � JOANNE SGOTT, MPH, R5, 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 'T'� r/`��r' l�f, UNIT#� � IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /V/S�P'�{'L HZ�MANAGER/AGENT ADDRESS X7o�. ,(.l�� I . NADDRESS�ffY/ �� CITY. � )�� CITY �� RESIDENCE PHONE��.Jo2�"J�7�USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: �:J ROOM USE: 1. 2. 3. 4. 5. 6. 7. ------8— THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHEGK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TfME OF INSPECTION. APPUCANTS SIGNATU _ - _DATE a CP D INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �-�"�� , DATE OF REWSPECTION DATE OF ISSUANCE OF CERTIFICAT �E�� DATE FEE PAID:_�= 1 1 � � TYPE OF UNIT: DWELLIN OTHER__ CHECK #� a-b CHECK DATE�'��- ti� , �_ NOTES: __ CODE ENFORCEMENT INSPECTOR � 9/28/98 CITY OF SALEM, MASSACHUSETTS � HEALTH AGENT '�� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 � TEL. 978-741-1800 Fnx 978-745-0343 . KIMBERLEY DRISCOLL JSCO7T@SALEM.COM MAYOR JOANNESCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#387-07 DATE ISSUED: 8/17/2007 Property Located at: 42 Harbor Street UNIT#2 Owner/Agent: Kristeen Ho Address: 42 Harbor 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 � JE� � � J ,4NNE SCOTT, MPH, RS, CHO ALTH AGENT CODE ENFORCEMENT INSPECTOR ' / ' ` CITY OF SALEM, MASSACHUSETTS � BOARD OF HEALTH ��,� • � 120 WASHINGTON STREET, 4TH FLOOR � SALEM, MA 01970 TEL. 978-741-1 BOO � � - FAx 978-745-0343 ' JonNNE ScoTT, MPH, R5, GHO � 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 ']`� �/L�b�r S/ . UNIT �_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /V/S�P.!'L. / Il� MANAGER/AGENT No P.O. Box/, L��,� �L No P.O. Box �� „ ADD�;ESS 7�. .(.!'/�l// �I . ADDRESS�ffY/ .5 CITY < )GC(X/j'�� CITY �� RESIDENCE PHONE C7��'J�C��J�7lY,�tUSINESS PHONE (24 HRS.) _ BUSINESS PHONE TOTAL NUMBER OF ROOMS:_� RCOM USE: L 2. 3. 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR NIONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT TtiE TINME OF INSPECTION. � --------DATE� Cf�� - APPLICANTS SIGNATU __ _�-� � WSpECTORS USE ONLY DATE OF INITIAL INSPECTION ��7 'II_7_,DATE OF REINSPECTION __,_.__ _ __ DATE OF ISSUANCE OF CERTIFICATE:�� 17."}� DATE FEE PAID:___��'�_�_'",_ 7 TYPE OF UNIT: DWELLIfV�__OTHER___. CHECK �_� Yb __CHECK DATE _ �-'��"g � ��- NOTES CODE ENFORCEMENT INSPECTOR 9/28/98 _ _ . . _ -- -------._.. . .._.._ - ____- ----.__ .�_____.__.___.______.�__m.___.�... - - - ___.___�_,__...._<_.�._M :� ` . . v��COWUIT � CERT.# 319-99 Sr � FEE $25.00 � `-' � � DATE: 06/24/99 4 .9 3 . ��/y1NB1p� 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: 42 Harbor Street UNIT #: 3 OWNER/AGENT: Scott Galber � ADDRESS: 9 Belleair Drive CITY/TOWN: Swampscott, MA ZIP CODE: 01907 24 HOUR PHONE: 592-4462 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 I2, "MINIMUM STANDARDS OF FITNESS FOR fiUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE. � SALEM BOARD OF HEALTA AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPPNTS, 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 D08S 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 � / t,��;tR�.l� ��'�l , � /II � �'JOANNE SCOTT, MPA,RS,CHO � HEALTH AGENT CODE ENFORCEMENT INSPECTOR I � . .. ... . " ..F _ � . _b . . .. ' � - �..t..: � . - _ . . . . �. " ��o� e � ��j , / n � �'�rn� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET , HEALTH AGENT APPLICATION FOR CEFTIFICATE OF FITNESS Te�:(978)7at-�80o � � Fax:(978)740-9705 I IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 '+MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT � 2 rlA��°� s� UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSE�G�� CZ�£'` MANAGER/AGENT ADDRESS �r O�fzLG� �I�- �n�VF NAD RS S CITY� S�/° � CITY v �5�/ RESIDENCE PHON 1 S92r �l�l Z BUSINESS PHONE (24 HRS.) BUSINESS PHON � �7/ I6 k TOTAL NUMBER OF ROOMS: b ROOM USE: 1. �) 2. ��v 3. �/'� 4. AJ�� . 5.��'"' s. Y/h�n �. 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. I APPLICANTS SIGNATURE �� DATE��_`T�/ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �o �a �E 'G L DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE��'�l Y DATE FEE PAID: � ' d- 'f '�Gy TYPE OF UNIT: DWELLWG/�OTHER__ CHECK# `�D CHECK DATE �� '�(y i\ — NOTES: � CODE ENFORCEMENT INSPECTOR 9/28/98 `" � CITY OF SALEM� MASSACHUSETTS � HEALTH AGENT �� 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 � TEL. 978-741-1 800 Fnx 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#388-07 DATE ISSUED: 8/17/2007 Property Located at: 44 Harbor Street UNIT# 1 OwnerlAgent: Kristeen Ho Address: 42 Harbor 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 � �JOANNE SCOTT, MPH, RS, CHO � HEALTH AGENT C NFORCEMENTINSPECTOR I / � CITY OF SALEM MASSACHUSETTS , � BOARD OF HEALTH 2(/V„(f7 • • 120 WASHINGTON STREET, 4TH FLOOR ,,JO 0 SALEM, MA 01970 TEL. 978-741-1 BOO � � � FAx 978-745-0343 ' JOANNE SCOTT� MPH, R5, 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". ,(flf��-�Sf. uIZ/�` PROPERTY LOCATED AT "T"� r/`�bJr Sf. UNIT#� �� / � ` ,�_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWMER/LESSER /V/S�P.!'L- / /(� MANAGER/AGENT No P.O. BoX �l No P.O. BoX „ ADGi3ES5 1/02 ,(!'I�Y �I . ADDRESS _ CITY `�GCG?/�'L_. CITY /1/�� RESIDENCE PHONE��'Ja�"J�7lY,l`3USWESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: �7 RCOM 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 O� SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TINIE OF INSPECTION. � DATE APPUCANTS SIGNATU _. �� ___ __ �� > INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �`� I �_`°_______.DATE OF REINSPECTION____.__ _ _ DATE OF ISSUANCE OF CERTIFICATE�-1 7__*�_7 _DATE FEE PAID �'��7_ �_� _ TYPE OF UNIT. DWELLING�THER__ CHECK z _��-yj _ _CHECK DATE �'f � � � NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 i � : �o�T CITY OF SALEM, MASSACHUSETTS ��" � �. BOARD OF HEALTH _ < 120 WASHINGTON STREET, 4TH FLOOR � S� CERT.# 590-02 ? � SALEM, MA 01970 FEE 25 .00 $ ��',y�,G�� TE�. 978-74 1-1 800 DATE: 11/19/2002 Fnx 978-745-0343 STANLEV USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAVOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 44 Harbor Street UNIT #: 1L OWNER/AGENT: Victor Rodriquez & Catalina Castillo ADDRESS: 24 Palmer Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-1917 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 DIVISZON 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 FNMAN 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. FO/�ARD OF HEALTH / ,/ B � "", �.�T`�ys-�'"� � � j� � JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ;,, , ' C1TY OF SALEM, MASSACHUSETTS � '� BOARD OF HEALTH //�]� �Q� • � 120 WASHINGTON STREET, 4TH FLOOR S / �� SnLEM, MA 01970 T E L. 978-74 1-1 800 � � - FAX 978-745-0343 ' STANLEV USOVICZ, JR. �OANNE SCOTT, MPH, RS, CHO � MAVOR HEALTH AGENT APPUCATION 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 ��(��iQ�/�� UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE C!r/'��✓a r .rr,� OWNER/LESSER !' ,U�3 MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS��w-1�l f'�� ADDRESS cirv�.�� /9i`�_ciry RESIDENCE PHON�%��I-j9/�USINESS PHONE (24 HRS.) BUSINESS PHON��'/��f�C�� IS .� TOTAL NUMBER OF ROOMS: / 5�� ROOM USE:�1.�_2. 3. 4. � v 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 CEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPUCANTSSIGNATURE�e��1•�'r DATE ��'��S-pZ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ,�� /� O Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: - / �Z DATE FEE PAID: /�- /� '� � TYPE OF UNIT: DWELLINC��OTHER_ CHECK#�CHECK DATE�J�'�' `/f� NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 I � y �v� '� � CERT.# 98-98 ' " FEE $25.00 3 � `�1��, . �Fr DATE: 02/19/98 . ��-<,.-,-_:fi`%'�, rqFB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STqEET HEALTH AGENT Tel:(978)741-1800 F�:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 45 Harbor Street UNIT #: Rear OWNER/AGENT: Mark Realtv Trust - ADDRESS: S1 Narbor Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-8260 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 IZ, "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. MAXIM[JM 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 O . MINIMCJM 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 � �'Z�� //,. �,�,�, �!� � � i"� "`""'+-'l JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORC INSPECTOR EMENT ` �: � .� .. .. , � �: �.�—9� � e ., �i�'P � _ � . GITY OF SALEM BOARD OF HEAI.TH Salem, Massachusetts 01970-3928 JOANNE SCOTf,MPH,RS,CHO , NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATIOH FOR CI3BTIFICTE 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". , `-P'�j �� ll 6 r O"� ' mrtr # " 1�, �� (. PROPERTY LOCATE AT • OWNER/LESSER �� G�� `I �' V"� MANAGER/AGENT "�� U��/W" 'T ADDRESS �t Y��. � ADDAESS �y(1- �- CITY U �d C�i� °-', (.Jf � CITY �b� a� � b �RESIDENCE PHO\ / /'�1 1--j —�Z � BUSINESS PHONE (24 HRS.) / �( � -V�IJV _ BIISINESS PHO�-1 �� . ./ 7 - ) ��V TOTAL NUMBER OF ROOMS: / -- ROOM USE: l. t?�� 2. I L C �lS/°�3. �(il� 4. ' S. 6. 7. 8. T3ERE IS A THENTY-FIVS (25 00) DO E, PAYABLE BY C�CK OR MONEY ORDER TO THE CITY OF SALE21 HEALTH DEP /THIS ZS PAYABLE AT � TIIM6 OF IASPECT N APPLICANfS SIGNATORE �'V DATE (/ �� `�__ - INSPECTORS USE ONLY - DATE OF INITIAL INSPECTION:� — I ( � ( � DA'CE OF REINSPECTION _ DATE OF ISSUANCE OF CERTiFICATF.: Z'' l � � DATE FEE PA�ID: � 'G� � � `'0 -_ TYPE OF UNIT: DWELLING�OTHER NOTES: CODE ENFORCEMENT INSPECTOR !� , � ,.1 � CITY OF SALEM, MASSACHUSETTS . a ; BOARD OF HEALTH � a 12O WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 �''4i� TEL. 978-741-1$OO Fnx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTf, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 162-06 DATE ISSUED: 3/31/06 Property Located at: 47 Harbor Street UNIT#2 Owner/Ac�ent: Mark Realty Trust Address: 51 Harbor Street, 1 st floor City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-8260 Fred 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 THE BOARD OF H� �` (J� '/ � � � JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � ...�-��°'4?' ., r i • ��Y��1?lk�+«r +:�-u:� . . ...: .:., . �� ' . . . . . .... 1 'u�:'.:O " i '� "�+ -,�"-,-� '� _. . ___ �. <(�ITY OF.SALE(N _ ,. . : s<kr �y', . M�ISSACHUSEt'CS 60AR0 OF HEALTN � 120 WASHINGTON STREET•4TN FLOOR � ��M. �Ao,9�o ��a_ TEL. 978-741-1 BOO _ STANLEY USOV�C2, Jrt. F� 978'�45-0343 • MAYOR . J�ANNE SCOTT, MPH, RS, CHO �� HEALTH AGENT � APPUCATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR G10.000 "MINIMUM STANDARDS OF FITNESS FOR HU AN HA TION".��p PROPERTY LOCATED AT� �ArZp� UV� ��.L' /"�{�� UNIT N IS THIS UNIT DESIGNATED9� RIGHT FT FRONT BACK PLEAS[ I CL . ^��//,�y�,, OWNEP„��SSER �.�CIG Y&'4G� � � �v�}l�/K7/� No P.O. B o z L� /� MANAGER/AGENT ADDRESS J� � "�f�� ° No P.O. Box � �.(�� C'TM � �� ADDRESS /�j� / CITY ds• �� RESIDENCE PHONE7/ � �3Z— o gUSINESS PHONE 2 (��,�j '�,/ 7� - 4 HRS. / /�' � ^ � )_ � / � � U I BUSINESS PHONE � TOTAL NUME3ER OF ROO S: � ROOM USE: j�/ . dVp �iY(Y 3 � --4. 5. 6. 7. 8. THERE IS A TWENTY-FryE($25.00) DOLLA F , PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF S ALTH RTMENT THIS FEE IS PAYABLE AT THE TIME OF WSPECTION. APPLICANTS SIGNATURE � �Z --- ------ --DATE � 1�� INSPECTORS_USEONLY DATE OF INITIA� INSPECTION �_�,�--� -� � DATE OP REINSPFCTION DATE OF ISSUANCE OF C[RTIFIC/1T� � �""� � �' � �nrE r�r_ i�nii� � =� � � TYPE OF UNIT DWELLW��HLR CHECK N .�✓�a� (;Ii�CK DAT[ f�� NOTFS COC)G L-NPOIi�:f_MI:N I WSf'E(:1 OIl 'u:'tt/�dtt - J � . . 1 � � � � CITY OF SALEM, MASSACHUSETTS BC>ARD OF HE,dI;fH � 120 W.�si-ri��roN STtt�ET,4»'Fz.c��u ICTM1iF_,RLF.Y DRISCOLL T'EL. (978) 741-1800 MAYOR F��(978) 745-0343 ltamdin saletn com 1.�Utltl'IL\�btDIN, RS�RI?I IS,C:I�10,(:P-15 . F��ii�:ni;i'i i Ac i�,N'�. CERTIFICATE OF fITNESS CERTIFICATE #535-11 DATE ISSUED: 12/14/2011 Property Located at: 47 Harbor Street UNIT# 3 Owner/Agent: Mark Realry Trust Address: 51 Harbor Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-8260 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. Cert�cate 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 �: , LA Y RAMDIN HEALTH AGENT C ENFOR NT�ECTOR ._--- .-` �� CIT'Y OF SALEM MASSr1CHL�SF_'1"I'S � ' J�l y� ,��- Bo�x��>F H�r_�rE� 12O WeASHINGTON STREE"C,¢"� I'I (><�R TFs.. (978) 741-1800 KIME31�du.PY llRiSC(')1.L F�a� (978) 745-0343 � MAYOR i.itnmiuw(a�sni.i�:�i.coni I..:AIiRYR;1P:IDIN,Rti�lt1(!Iti,<:IIU,CP_I�S - f-ll(,V:I'II AGI•:N'I' - Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT y�- I�ar"JC� � �� UI�T# � IS THIS UNIT DISIGNATED AS RIGHT LEFI'FRONT OR BACK.PLEASE�IRCLE ONE OWNER/LESSER I�1 r�� R��4�1 U� MANA()ER/AGENT I '' r'L`'�4"U NO P.O. BOX '/ ADDRESS S I hl a(� � � �>. ADDRESS �/� �' �• CIT'Y, STATE,ZIP �( JV 1y'`�'J, O� � CTI'Y, STATE,ZIP � G/ �O RESIDENCE PHONE_J�'"J�L �V BUSINESS PHONE(24I3RS) ` �S "� �( BUSINESS PHONE�— �(I O ��(/ � TOTAL NUMBER OF ROOMS: � ROOM USE: 1. �I 'LI"� � 2. ��f/��.�' 3. V�` � 4. "`'v 5 �� 6. 7. 8. 9. 1D. THERE IS A FIFTY($50)llOLLAlt FEE,PAYABL CHECK OR MONEY OItDER TO THE CiTY Or SALEIvI BOARD OF HEALTH THIS FEE PAYABLE AT TIME OF INSPECTION �� APPLICANT'S SIGNATURE DATE /Z ( . Insnectors use only Date on initial inspection: ��_1-f' (� Date of reinspection: Date of issuance oFcertificate: Date fee paid: Type of unit: Dwelling Other Chec� �_Check date: � � rrot�: �)vl "�';c�_t� �.�„� �, -i-V�e,1lfc�c�c�c717n, E��v �� `�-fc�leh. , Code cnentInspector ,. :� , � � � �� CIrY or S��l rM, M�ssr�cHusr,r°l�s � B<>aitn or HE:�r.Tx 120 W��sxiNcrotv Sr�E7 4"�FLoc>R Publicdiealth '1'F'r.,. (978) 741-1800 P.�ti (978) 745-0343 I�IMBERLEY DRISCOLL �'aindin(u�salem.com � LAltlil R�AM'D1N,R.C�RE(HS,CI70.CP-l�S �r\YOR HL?rV:l'I I i1(31i;N'I' CERTIFICATE OF FITNESS CERTIFICATE #252-12 DATE ISSUED: 6/21/2012 Property Located at: 47 Harbor Street UNIT#4th floor Owner/Agent: Freddy G Guerrero Address: 20 Park Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: 978-532-6268 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" , Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid o�ly if there is a valid Certificate of Occu ancy. FOR THE BOARD OF HEALTH � � LA RAMDIN HEALTH AGENT A ITARIAN � ��, � � � CITY OF SALEM, IVIASSACHUSETTS �� ]3o��RD or Hrar rx �� i ��'� 120 W�1tiHINGTON$TREET,41°I'LOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F�1�(978) 745-0343 1VIAYOR �.aentu�N(co�sn�,�tNccoM L,\RRY RAMDIN,RS/Rll�,l fS,CliO,CP-PS . HI3;U.;L'I I AG GiN'1' Applica�iom foa� Cea-ti�cate ofr Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FO U HABITATION" F E: 50 00 PROPERTY LOCATED AT � �Q r�D� - �J�� iTNIT# IS THIS UN[T DIS GNAT�D AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLf ONE owrrExa.Ess�tt �� y�� ` �ftd b ��► � �"u!'1/�LMANAGER/AGE NO P.O. BOX � ,1 ^ / /� ADDRESS Uv 7` rlG � ADDRES5 0 � //'t /'� CITY, STATE, ZIP B�!� ��A � CITY, STATE, ZIP Sd � �_ RESIDENCE PHONE� � J Z"0 �D S BUSINESS PHONE(24HRS) BUSINESS PHONE � � V � � TOTAL NUMBER OF ROOMS: ROOM USE: 1. �P " 2. �� 3 " ` � 4 �� f 5 ` �/ d.i`'T � U 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYABLE BY CK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE AY L AT THE E OF INSPECTION `�/I / � APPLICANT'S SIGNATURE �%�I �' DATE � Inspectors use only Date on initial inspection: (,( �r(/ Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#��Check date: Notes: ment Inspector ., ` ^ � tl � 6 � � CITY OF SALEM, MASSACHUSETTS � BOf1RD OF HF.�ILTH � 12O W�15H1NGTON STREET,4�"FLOOR Pt1��1CHC8I�1 Prevent.Pramote:Pmfeci. 'I'EL. (978)741-1800 F.�x(978) 745-0343 HIMBERLEY DRISCOLL Ixamdin�,salem.com I.�AI2RY RAMDIN,RS�REHS,CHO,CP-t�5 � . MAYOR . HLu�I.I'bl AG15N'1' CERTIFICATE OF FITNESS CERTIFICATE#372-13 DATE ISSUED: 10/3/2013 Property Located at: 49 Harbor Sheet UNIT#2 OwnedAgent: Mark Realty Trust Address: 51 Harbor Street _ City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-8260 Pursuant to the requirements of City of Salem ordinance Chapter 2 ArtiGe IV Division3, Section 705: Certificate of fitness of rented dweiling 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 Cert'rficate 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 OARD HEALTH /'! �.�. I • LARRY RAMDIN I��"'� � HEALTH AGENT SANITARIAN � � I � � o CIT'Y OF SALEM, MASSACHUSETTS � �1�l-� B0�1RD pF H&1LTH ' - 12O WASHINGTnN STREET 4"'FLC.)(lR �b�C�� . f Prcvent Pmmotc Protect. TEL. (978) 741-1800 Fax(978)745-0343 KIMBERLEY DRISCOLL kamdinna=,salem.com - MAYOR . LARILY Re\bII�IN,Rti/RGHS,CHO,CP-FS HEAI,11-I A(iI':N'I' Application for Certi�cate of Fitness IN ACCORDANCE WITH STATE SAI�IITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FIT'NESS FOR HiJMAN HABITATION" FEE: $50.00 PROPERTY IACATED AT �� A�(�d(L S j' UNIT#�,_ IS TIIIS UN[T DISIGNATED AS RIGHT LEFC FRONT OR BACK,PLEASE CIRC ONE OWNER/LESSER 1"� �� ""'�+� MANAGER/AGENT , �.� V� � annxEss �I � Af�a� S , anD�ss � '�� x CTI'Y,.STATE,ZIP � �� l"N'� l/'/ V CTfY, STATE,ZIP b 1 �� RESIDENCE PHONE �� v— � �^ ��BUSINESS PHONE(24HRS) _3�' �� BUSINESS PHONE IT/ � ` � (l/ �l I TOTAL NUMBER OF ROOMS: � �n ,/� ROOM USE: l.��G�� 2. I,VV N/� 3. � 4. � 5.� 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR F ,PAYAB BY CHECK OR MONEY ORDER TO Tf�CIT'I'OF SALEM BOARD OF HEALTH THIS F P L TIME OF INSPECTION � d a��l� APPLICANT'S SIGNATURE - DATE Insnectors use onlv Date on initial inspection: �--� '-� `3 Date of reinspection: Date of issuance of certificate: �� ^ � Date fee paid: ��_ Type of unit: Dwelling � Other Check# � � Check date: /o �`� �� Notes: , Code Bnforcement Inspector i i- .� • � � CITY OF SALEM, MASSACHUSETTS BOdRD OP HF�ILTH 120 WaSxiNGTON ST��T,4"'FLOOR T�L. (978) 741-1800 KIMI3ERLEY DKISCOLL 1�x(973) 745-0343 MAYOR ncizr�;r:Nunuu(asnr.ru cona DAViD GRf31:NRAUM,RS ' ACTING H73AL'1"H AGF..N1' CERTIFICATE OF FITNESS CERTIFICATE #011-11 DATE ISSUED: 1/6/2011 Property Located at: 49 Harbor Street UNIT#3 Owner/Agent: Mark Realty Trust Address: 20 Park Street City/Town: Peabody, MA Zip Code: 01960 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 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 ��.�, �. DAVID GREENBAUM, RS � ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR . � A l ' � � • CI'I'Y OP SALEM, MASSACHUS�TTS � � l�� q� � Bo,��oF H�nr�rH ��«� 120 W�ISHINGTON S'TRF_I:;T,4"�I'LUOR � '1F,r_. (978) 741-1800 IQMI3FRLEY DRISCOLL Pz��(978) 745-0343 M11YOR ix;iu;e:Ni3num(asni�rM.COM D�1ViD G R]_,FNB.�U\[,RS r�CTING HF.:ILTH AGI3N'I' Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: 50.00 PROPERTY LOCATED AT (��P� S ' > � _UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CBCLE O OWNER/LESSER 1 �� NS�� I(,L(�S(1 MANAGER/AGENT � �� NO P.O. BOX /� ADDRESS �C ADDRESS Za �� J , CITY, STATE, ZIP � OI U CITY, STA'I'E,ZIP �.d //J � ✓v� � /��/ RESIDENCE PHONE�� , �� BUSINESS PHONE(24HRS) BUSINESSPHONE�U' ��' J�G� TOTAL NUMBER OF ROOMS:�� ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR E,PAY E BY CHECK OR MONEY ORDER TO THE CITY OF S E BOARD OF HEALTH THIS F P YABL THE TIME OF INSPECTION � n / U j�APPLICANT'S SIGNATURE �' DATE Inspectors use only Date on initial inspection: /� Date of reinspection: Date of issuance of certificate: // Date fee paid: � Type of unit: Dwelling_�Other Check#��Check date: � � Notes:� ,�S�L�" _' '`I v��"� �r(�- �l� �7 Code E orc ment Inspector ' � �. ._ � • � CI1'1' OF SAL�M, Mt1SSACHUS�TTS � BOARD OF HE�ALTH ��j{� 12O W��SFII[�3GTpN STRL.L"I',4"�1'LOOR �rLr.. <<»a� �ai-iaoo I4MI3�RLEY DxISCOLL I'.jZ O78) 745-0343 MAYOR ucarsrNitnunaCa�sni.i•:m�.CO\-I DAVID GREENIIAU�I,RS ACTING HFJILTH t�GEN`C Release In accordance with Massachusetts General Laws Chapter 111; Code o£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 authorized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any]ose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date � .. ��o CITY OF SALEM, MASSACHUSETTS . �� '� - BOARD OF HEALTH " 120 WASHINGTON STREET, 4TH FLOOR �'�,1 .��sE� SALEM, MA 0 7 970 ��'"��p' TE�. 978-741-1800 Fnx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#300-04 DATE ISSUED: 07/02/2004 Property Located at: 49 Harbor Street UNIT#4th Owner/Agent: Mark Realty Trust Address: 51 Harbor Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-532-6268 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 Certifcate of Occupancy. O��A�F HEALTH � .,�� 1 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT C DE'ENFORCEMENT INSPE / ,. �,�/ : � . � _o� . CITY OF SALEM, MASSACHUSETTS � � ` ,'� BOARD OF HEALTH � • 120 WASHINGTON STREET, 4TH FLOOR � � SALEM, MA 01970 � � 9q� . TE�. 978-741-I800 � � FAX 978-745-0343 � ' � STANLEV USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO - . �. ' MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 C R 410.000 "MINIMUM STANDARDS OF FI ESS R UMAN HA TATIO " PROPERTY LOCATED AT / �"��"_ ` � UNIT# IS THIS UNIT DESI A�T/F�D A IGHT L RONT BACK PLEASE CI LE� OWNER/LESSE ` MANAGER/AGENy �- �`"/ �� No P.O. Box ��-- No P.O. Box ADDRES ° ADDRE a CITY � CITY � / �� RESIDENCE PHONE J� "-" BUSINESS PHONE (2 HRS.) BUSINESS PHONE/�/ 7 � TOTAL NUMBEF�O ROOMS:�_L_ � �� ROOM USE: 1� 2.� 3. 4. 5._��6. 7. 8. THERE IS A TWENTY-FIVE($25. ) DOLLAR PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SA H �TH D TMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. �� J l v� APPLICANTS SIGNATURE DATE � INSPECTORS USE ONLY AATE OF INITIAL INSPECTION ^/ ,Z� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ',—o�—U �DATE FEE PAID-__y� TYPE OF UNIT: DWELLING _OTHER_ CHECK#��(�/�CHECK DATE_��G� NOTES: �b ¢.. � . `� �� — CODE ENFORCEMENT INSPECTOR g/2g/gg 'IL _