HARRISON ROAD c CERT.# 97-02
a FEE $25.00
DATE: 02/28/2002
/MInII+
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-
JOANNE SCOTT, MPH,RS,CHO 120 Washington Street —4`h Floor
HEALTH AGENT Tel # (978)-741-1800
Fax # (978)-745-0343
CERTIFICATE OF FITNESS
rnOPERTY LOCATED AT: 4 Harrison Road UNIT #: 1
OWNER/AGENT: Fawaz Abusharkh
ADDRESS: 4 Harrison Road #2
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 835-5955
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH
i�
JOANNE SCOTT, MPH,RS,CHO cc_
HEALTH AGENT E &tORCEF4ENT INMPECTOR
CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO -
MAYOR HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT UNIT#_t
IS THIS UNIT DESIGNATED AS RIGHT LEFT /F/RONT BACK PLEASE CIRCLE ONE
OWNER/LESSER EWA�� U f k MANAGER/AGENT S C
No P.O. Box No P.O. Box
ADDRESS t/ �((rrLj AN -t§ 2 ADDRESS
CITY a I Pa., CITY
RESIDENCE PHONEA� 8�J�CUSINESS PHONE (24 HRS.) !'- Mr
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:_
ROOMUSE: IlAr t2. Uvlo 3.jtJrtn
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 D-ERARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION. !�
APPLICANTS SIGNATURE DATE C Z g r 6 2
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION AZF�OQ DATE OF REINSPECTION .VA
DATE OF ISSUANCE OF CERTIFICATE: 1,2A DATE FEE PAID: ;)hg�/ea
TYPE OF UNIT: DWELLING ''OTHER CHECK# 1395- CHECK DATE 249Z3
NOTES: &A.
C�F� CE T INSPE OR 9/28/98
��IIPB
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Date: 07/29/98 Fax:(978)740-9705
Sandra & Thanh Chi Tran
4 Harrison Road
Salem, MA 01970
PROPERTY LOCATED AT 4 Harrison Road UNIT # 2
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
It is incumbent upon you as owner(s) to contact the City of Salem Health Department
to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or
occupied, or to notify us of your intent for this .unit.
Each dwelling unit must be inspected and certified by the Salem Health Department
prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of
the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum
Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article
XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness.
There is a twenty-five (25) dollar fee payable by check, or money order to the City
of Salem Health Department . This fee is payable at the time of inspection. Inspection
will not be performed without receipt of payment.
Failure to comply with this procedure, will result in a fine of twenty (20) dollars
per day for every day that the dwelling unit is occupied without approval of the Code
Enforcement Division of the Salem Health Department.
Contact this department within 24 hours of receipt of this notice. (978) 741-1800
Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or
Friday 8:00 a.m. to noon to schedule an appointment for an inspection.
SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY.
Very truly yours,
FOR THE BOARDO HEALTH REPLY TO
� .
Joanne Scott, MPH,RS,CHO PABLO VALDEZ
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
a
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY JSOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
03/07/2002
Arthur & Polly Ingemi
8 Beach Avenue
Salem, MA 01970
PROPERTY LOCATED AT 2A Harrison Road UNIT # House
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit
at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of
Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be
inspected and certified prior to allowing occupancy. The inspection will be conducted
in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative
Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of
Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit.
Please contact this department within 24 hours of receipt of this notice at
978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday
thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00
a.m. - 4:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty (20) dollars
per day for every day that the dwelling unit is occupied without a Certificate of
Fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the
time of inspection.
A property owner is required to pay gas and electricity for residential tenants if there
is not a written letting agreement stating the tenant is responsible for those
utilities and if the meter(s) records electricity and gas use which is not used
exclusively by that tenant. The Department of Public Utilities has billed property
owners for their tenants' entire utility bills retroactive to the date of initial
occupancy in cases in which cross-metering has been proven to exist.
OR THE BOARD , HEALTH REPLY TO
-04L
Joanne Sco tMP
, H,RS,CHO PABLO VALDEZ
Health Agent CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS lu
BOARD OF HEALTH
120 WASHINGTON STREET'>4."FLOOR PublicHea Ith
Prevent.Prmm�re.Pr"Ittr.
TEL. (978) 741-1800 FAZ(978) 745-0343
KIMBERLEY DRISCOLI, . ltamdin@salem.com
LARRY IL\MU[N,
MAYOR H13
RS�REI-IS,ChrO,Cl'-PS
' ;;V:1'ITA( 13N'I'
CERTIFICATE OF FITNESS
CERTIFICATE#409-14
DATE ISSUED: 11/18/2014
Property Located at: 6 Harrison Road UNIT# 1
Owner/Agent: Mia & Ben Lunt
Address: 5 Hillside Road
City/Town: Tewksbury, MA Zip Code: 01876 24 Hour Phone: 978-766-2662
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section
705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your
vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with
105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of
Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of
Health and the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever
is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
1"0\
LARRY MDIN
HEALTH AGENT SANITARIAN
CITY OF SALEM, MASSACHUSETTS
y » BOARD OF HEALTH
120 WASHINGTQN STREET,4`FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx(978) 745-0343
MAYOR LRAMDIN&SMIN.CONI
LARRY RAMDIN,RS/RUJ IS,CPK),CP-I-S
HEALTH AGENT .
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT 7 11/75,9Y2 JY, c- 9Ion UNIT#
' SAIS THIS xTNITDISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE
ECIRCLE/ONE
OWNER/LESSER /"/!� ?/4-) U✓1' MANAGER/AGENT /''/�L GUyJ17L
NO P.O. BOX
ADDRESS �///�/si`l� ��C ALk—� / i,'Od/�RESS
CITY, STATE,ZIP 172 Ol��/OCITY, STATE,ZIP
RESIDENCE PHONE BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS: �(�_ II
ROOM USE: I.&A 2. bAD 3. ').I ° 4. 1�I �c ',� 5. I, UIV`C%
6. 7. 8. 9. 10. \ J
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 E OF INSPECTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection: /h/a•J Date of reinspection:
Date of issuance of certificate: //- / $ )y Date fee paid:
Type of unit: DwellingL,-�Other Check �Check date:
Notes:
Code lEnforcement Inspector
CITY OF SALEM, MASSACHUSETTS }j
BOARD OF HEALTH
120 WASHINGTON STREET,4'"FLOOR p11�1�iCHP811
Prevonf.�romow_vrmeN.
TEL. (978)741-1800 FAY(978)745-0343 _
KIMBERLEY DRISCOLL haradingsalem.cpm
LARRY RAMI) Rri
IN,RS HR,C110, I IS-IO,C
MAYOR IIF,\\ ru AGENT
CERTIFICATE OF FITNESS
CERTIFICATE #451-14
DATE ISSUED: 12/912014
Property Located at: 11 Harrison Avenue UNIT# 1
Owner/Agent: Benigho Bonilla
Address: 11 Harrison Avenue
City/Town: Salem, MA Zip Cade: 01970 24 Hour Phone: 781-858-5012
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 Cade, 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.
I
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
RR D N •,
HEALTH GENT SANITARIAN
r .
r"
CITY OF SALEM, MASSACHUSETTS JJJ
Y BOARD OF HEALTH/ `1�J� /
r 120 WASHINGTON STREET,4°1 FLOOR I Ll
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAX(978) 745-0343
MAYOR LR 4MDINgSALEN1.COM
LARRY RANIDIN,RS/RENS,CHO,(T+S
Hi'i rI"I AGIZN'1'
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 I !1�b A U UNIT#
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE
T
OWNER/LESSER 8'E`N\Gb�O oN1 MANAGER/AGENT
NO P.O. BOX
ADDRESS CCt e>UU a Ny , Shl d=,�'1 ADDRESS
CITY, STATE, ZIP CITY, STATE, ZIP
RESIDENCE PHONE S'� ltic` BUSINESS PHONE(24HRS)
BUSINESS PHONE
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
6. 8. 9. 10.
THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION
APPLICANT'S SIGNATURE jf:�\Zteo DATE IZ-4- 1
Inspectors use only
Date on initial inspection: I a� y Date of reinspection:
Date of issuance of certificate: Date fee paid: _
Type of unit: Dwelling Other Check#_ T � Check date:
Notes:
Code nKfokc9luentinspector