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HATHORNE STREET h 1. Of �g�CONOIT *� '8 CERT.# 279-01 n a FEE $25 .00 DATE: 05/28/2001 ��7M1l� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT (el: (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 1 Hathorne Street UNIT #: 1 Right OWNER/AGENT: Dale Genhart ADDRESS: 188 Cemetery Road CITY/TOWN: W. Windsor, VT ZIP CODE: 05089 24 HOUR PHONE: 674-6711 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING 'PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARDy OF HEALTH /azdjv� JOANNE SCOTT, MPH,RS,CHO V HEALTH AGENT ODE ENFORCEMENT INSPECTOR INK Saa'l� nom. a i�y a CITY QF SALEM O/ HEALTH DEPT• CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE-NORTH-STREE:j_ HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS fOR HUMAN HABITATION". PROPERTY LOCATED AT `" v vl S UNIT#J- 13 /j-L f�w�t � w1 q IS THIS UNIT DESIGNATED AS G T LEFT E T BACK PLEASE CIRCLE ONE OWNER/LESSER P N 4hT MANAGER/AGENT_ No P.O. BP.O.Box ADDRESSox }� G�crADDRESS CITY s b 1 �� CITY RESIDENCE PHONE T — �.� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF RO�1,,O•.M$:(} ROOM USE: 1. �I�L"`�2. 'J lhti 3.�� 4. S. 6.-7.-8. THERE IS A TWENTY-FIVE($25.0 )DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE EALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. _ > APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_]��.:'eY—r� ( _DATE FEE PAID: 5 — 1"" TYPE OF UNIT: DWELLING,�QTHER_ CHECK#CHECK DATE NOTES:— CODE — CODE ENFORCEMENT INSPECTOR 9/28/98 0 M. �'�ntnie CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street 4"Floor HEALTH AGENT 06/27/2001 Tel: (978)741-1800 Fax: 978-745-0343 Frederick Kingsley 11 Hathorne Street Salem, MA 01970 PROPERTY LOCATED AT 11 Hathorne Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. O/ BOARD/ H REPLY TO l Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA O 1970 TEL. 978-741-1800 ' FAx 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#524-04 DATE ISSUED: 11/19/04 Property Located at: 18 Hathorne Street UNIT# 1st floor Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5135 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105CMR410.000: Massachusetts State Sanitary Code,Chapter ll"Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Cade 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 " NNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH + t 120 WASHINGTON STREET, 4TH FLOOR f SALEM, MA 01970 J TEL, 978-741-1600 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"- PROPERTY LOCATED AT jbT /Jt _UNIT# IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEAS7E CIRCLE ONE OWNER/LESSER L /1, L�e,LU6- _MAN AGERtAGENT�i� ' Z- 09L,4'�� No P.O. Box No P.O. Box ADDRESS I 1 G � �' �T ADDRESS_, CITY ,sd2�1�} Ir77� CITY — RESIDENCE PHONE07t_lLK'5 _BUSINESS PHONE (24 HRS.) _ BUSINESS PHONE_ �-- TOTAL NUMBER OF ROOMS:_.-._— ROOM USE: t (tel�lJ2 1� (Z013.�4� 17 _4. at m 5 471 AYLPAVIn 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. f� APPLICANTS SIGNATURE __&44 DATE-/j.t�F-� INSP CTORS USE ONLY DATE OFHNITIAL INSPECTION 1I" 1 JI DATE OF REINSPECTION/ __ DATE OF ISSUANCE OF CERTIFICATE: r� DATE FEE PAID: �/ - 7 14 TYPE OF UNIT: DWELLING,,(OTHER- CHECK # 3 03LCHECK DATE�l-1 7-L'' Y NOTES:. - -P CODE ENFORCEMENT INSPECTOR 9/28198 ti 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 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulation^, 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 Hoard of Health or its author— ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, /we expressly authorize the same and for my/our successors and assigns hereby release and discharge. the City of Salem, Salem Board of Health and its authorized a,,,c, s j from any loss or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. A1ellSsa eos-fu, ay- o,�a� Pr,j�)e_ T.ENAW/LESSEE. OWNER/LESSOR ADDC.ES S — ADDRESS - ------ AMY)RESS OF UNIT TO BE INSPECTED -nom - D TE. 4 O ry CITY OF SALEM MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,4..-.FLOOR PublicHeAa TEF.,. (978) 741-1800 FAx(978)745-0343 KIMBERLEY DRISCOL.L, lramdinoa salem.com 1.,.AR1tV R.ANfUIN,RS/RIiI IS,CI 10,CP-IFS MAYOR _ I-IISiAI:I'll AGIGN'I' CERTIFICATE OF FITNESS CERTIFICATE#283-12 DATE ISSUED: 7/17/2012 Property Located at: 18 Hathorne Street UNIT# Owner/Agent: Linda Locke Address: 1 Pickering Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-5135 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 LASI$ZY RAMDIN AUA ) HEALTH AGENT SANITARIAN ., a CITY OF SALEM, MASSACHUSETTS 0 5� \y �� BNGOOFHEALTH l� `�' 120 Wr1SHINGTON SCREET,4".FLOOR � TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR nn-ti iN(a s; i.ew.cotit LARRY RAbIDIN,RS/RE:I-IS,010,CP-I+S Hum:ri I A(;I,,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 1 PROPERTY LOCATED AT �� ",V-n — <+ UNIT# /IS THIS/UJNIT DISIGNAT/ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER h �J') /.c 2,L 60 — MANAGER/AGENT NO P.O. BOX ADDRESS �/ G�XiNDI s ' ADDRESS CITY, STATE, ZIP 7O CITY, STATE,ZIP RESIDENCE PHONE g7Y-" � J l )" BUSINESS PHONE(24HRS) BUSINESSPHONE TOTAL NUMBER OF ROOMS: / 6 ROOM USE: 1. q� 2. {�CG{!�Don-j3 -j rOotvt4 �bY'/P�5 'F/�ZI�,n�� — 6._ ,fil , 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 LE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE C 'C�— A&— DATE -T �72— Inspectors use only Date on initial inspection: ' / 7 , / L Date of reinspection: Date of issuance of certificate: 7 - 17 - I l Date fee paid: 71V 7 Type of unit: Dwelling � Other Check# / G Check date: I Notes: C4 E orceme t Inspector ector P �r CERT.# 45-99 " :9 FEE $25.00 DATE: 01/29/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fav(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 20 Hathorne Street UNIT #: 1 Left OWNER/AGENT: Linda Locke ADDRESS: 1 Pickering Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5135 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. F R THE BOARD OF HEALTH JOANNE SCOTT, M2H,RS,CHO l, j HEALTH AGENT CC E ENF RCEMENT INSPECTOR NOTE: Front common hall and basement lights should not be on tenants meter. If they are move them to a house meter. co 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 Tet:(978)741-1800 Fu:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 20 Hathorne St. _UNIT#. 1 Left IS THIS UNIT DESIGNATED AS RIGHT F FRONT 13ACK PLEASE CIRCLE ONE OWNER/LESSER T i nda Locke --MANAGER/AGENT NIA No P.O. Box No P.O. Box ADDRESS- -L pi 01rerna St. ADDRESS I CITY Salam MA O.L970 _CITYv RESIDENCE PHONE 978 745-5135 BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS: 7 i nc- uding bathroom ROOM USE: i.living ZbP,t, 00m3. kitchen4 bathroom 5. den/ 6.4a4r17. bedroom 8. storage THERE IS A TWENTY-FIVE($25,00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE THtS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE `� ' —DATE_ 1/27/99 INSPECTORS USE ONLY DATE OF INITIAL INSPEGTION //a9/g DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: l�y� ._DATE FEE PAID:-_��9 TYPE OF UNIT: DWELLING OTHER___ CHECK#_139 _.CHECK DATEy NOTES: a4, �izo.v7 r,,,,,.nfcni .1ir11/ .9NA� __��/,+r.�r' P,,',F/ S 5�<hi-ic✓ .�%'r ;/.,ye' a.,/ �.u�fyvrs' ® /�ItTrn- XF T.�f� F7r[e r+'°uo TTlc^ 7° A CODeKrOW,tMENT INVECTOR `S` ""' 9/28/98 oma, CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 303-02 _ e TEL. 978-741-1800 FEE $25 .00 FAX 978-745-0343 DATE: 05/24/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Hathorne Street UNIT #: 3 OWNER/AGENT: Anke Fuoh-Harshman ADDRESS: 30 Hathrone Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-5761 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 HEALTH � 6 Lk� - JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 'i CITY OF SALEM, MASSACHUSETTS ( • O al BOARD OF HEALTH �U v c4lmm 120 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF.FIT�NsESS FOR HUMAN HABITATION": PROPERTY LOCATED AT�// 7fc� � UNIT#s IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER/1<Z�PG""/Clf/3Z!/ Gl MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS_ 3/6 Az&/-._a_ ADDRESS CITY 5�`e�� CITY RESIDENCE PHONE(/ BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: p3 ROOM USE: 1. Z_ ill 2. Cl 3. /l� 4. 5. 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 1��i-_G � lei DATE pt INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -v" DATE FEE PAID:s ' Y`C c) ' TYPE OF UNIT: DWELLINGOTHER_ CHECK# 3 a CHECK DATE�"±v z NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �• �y� ?� 6, CERT-# 436-98 FEE $25.00 DATE: 07/14/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Hathorne Street UNIT # : 2 OWNER/AGENT: Concetta Inaemi ADDRESS: 30 Hathorne Street #1 CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7611 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH G`11-'iti JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 3j 99 MRB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Pax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105,CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'-.Il PROPERTY LOCATED UNIT# 02, IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT ADDRESS 36 ''00/Ad,,e .Sl' ADDRESS CITY _! W CITY RESIDENCE PHONE 26 r'l BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1.zr ,f n(s 2. a 3.-&,,& 4// 4± 5.le, ". '+"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 SIGNATUREe4rn�i .. DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION >�F �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE? -0FDATE FEE PAID: 7 —1 TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/20/2002 Anke Fugh-Harshman 30 Hathrone Street Salem, MA 01970 PROPERTY LOCATED AT 30 Hathorne Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II : Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant . The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist . FQR THE BOARD OF HEALTH REPLY TO U'anne 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 USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/06/2002 Rena Mary MacDougall 37 Hathorne Street Salem, MA 01970 PROPERTY LOCATED AT 37 Hathorne Street UNIT .# Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II : Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. ' A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants ' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven ec exist. FOR THE BOARD S®/ 0 E LTH REPLY TO qoanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR a , CITY OF SALEM, MASSACHUSETTS - BOARD OF HEALTH 3j 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 _ - STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 John Apazidis 38 Hathorne Street Salem, MA 01970 PROPERTY LOCATED AT 38 Hathorne Street Unit 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to �f`� t +✓Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CONU v� � a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 05/07/2001 Fax: (978)740-9705 John Apazidis 38 Hathorne Street Salem, MA 01970 PROPERTY LOCATED AT 38 Hathorne Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. 4FRARD O� REPLY TO nne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR � .�ONDIT vQ' * ° CERT.# 74-01 FEE $25.00 DATE: 02/15/2001 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: 45 Hathorne Street UNIT #: 1 OWNER/AGENT: Paul Hoff ADDRESS: 47 Hathorne Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-8060 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 ,J �W V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR a 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 �J //Q d�/�P.�/ 7 UNIT# IS THIS UNIT DESIGNATED AS/RIGHT LEFT FRONT ACK PLEASE CIRCLE ONE OWNER/LESSER /�U/ ho) MANAGER/AGENT�/�� No P.O. Box �� No P.O. Box ADDRESS l%��/D/lf�t� ADDRESS CITY 4� CITY RESIDENCE PHONE f2k- Z Ad BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: 1.466k 2./,L/w"n, 3. 7 5.l;2_Z6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE60LY DATE OF INITIAL INSPECTION � -/ s'O / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: 2 /3� o/ TYPE OF UNIT: DWELLING OTHER_ CHECK# 6 a 6 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CERT.# 15-00 FEE -$25.00 DATE: 01/12/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 47 Hathorne Street UNIT #: 2 OWNER/AGENT: Paul Hoff _ ADDRESS: 45 Hathorne Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-8060 ANINSPECTION- 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 SQUAREFOOTAGEFOR 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 BOARDOF wHEALTH �V�J�� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 16Vr 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 IFOR HUMAN HABITATION". PROPERTY LOCATED AT �CV han e �— UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Ya U l I l� MANAGER/AGENT P.O. S Z ADDRESS '' II No P.O. Box ADESS � ADDRESS CITY L�QX�aitiL. CITY RESIDENCE PHONE' 02 -7,q) 'FOlo USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. � 2. { /1 3. � 4. 5. C11� 1FAL7. 8. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM ALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY PATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: –/,2 –O O DATE FEE PAID: TYPE OF UNIT: DWELLING �OTHER_ CHECK# ;2 S./–) CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 v N R 1ti F F � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 01/04/2000 Tel:(978)741-1800 Fax:(978)740-9705 Paul Hoff 45 Hathorne Street Salem, MA 01970 PROPERTY LOCATED AT 47 Hathorne Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, "each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that. tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. OTHE BOARD /Qf_ HEALTH REPLY TO VJdanne Scott, MPH,RSCHO PABLO VALDEZ , . HEALTH AGENT CODE ENFORCEMENT INSPECTOR I i i i �ONDIT� CERT.N 585-98 FEE $25.00 DATE: 09/18/98 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax: (978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 47 Hathorne Street UNIT 4: 2 OWNER/AGENT: Paul Hoff ADDRESS: 45 Hathorne Street CITY/TOWN: Salem. MA ZIP CODE: 01970 24 HOUR PHONE: 631-7779 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE 's4ITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH lc-4-fl'01)� -/ 96 zzale-� JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �11iF CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT A 9 � 2 - UNIT# a— IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSSERV6U` � , MANAGER/AGENT ADDRESS IY� CZ - - ADDRESS CITY Q CITY RESIDENCE PHONEBUSINESS PHONE (24 HRS.) 31 ' -7 7q BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE_-: 1. 2. 3. 4. 5. V �6 7. 8. THERE IS A TWENTY-FIVE($25.00 OLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALE AL D PARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATUR A/eDATE INSP TORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION _ DATE OF ISSUANCE OF CERTIFICATE: •lR"tY DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 v��ON�IT CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 08/21/2001 Fax: (978)745-0343 John Dick 48 Hathorne Street Salem, MA 01970 PROPERTY LOCATED AT 50 Hathorne Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8 :00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. O(ZOARD9F HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR t k 3 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: 07/17/98 Fax:(978)740-9705 John Giacoppo 50 Hathorne Street Salem, MA 01970 PROPERTY LOCATED AT 50 Hathorne Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address . It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (978) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410 .354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR eoNnfT n CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 Fax: (978)-745-0343 07/19/2001 Hathorne Realty Trust c/o John Arthur, Trustee 56 Orchard Street Salem, MA 01970 PROPERTY LOCATED AT 65 Hathorne Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected. and. certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative .Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25 .00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The DepartmentofPublic 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 oanne Sco t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DGRF3F.NBAUM(@SAi r?M COM DAVID GREi?NBAUM ACTING HEAi,,n-I AGE-'.NT CERTIFICATE OF FITNESS CERTIFICATE #625-09 DATE ISSUED: 12/10/2009 Property Located at: 67 Hathorne Street UNIT#2 Owner/Agent: Patrick&Janis Tobin Address: 11 Algonquin Road City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 750-8716 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BD OF HEALTH AVD ID GREENBAUM ACTING HEALTH AGENT CODE ENFORtEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR TF-L. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGREENBAUM&ALEN COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." �i1 FEE:/$50.00 PROPERTY LOCATED AT !i 1"h i'ryt 7� UNIT# q �jIS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER(LESSER t�i' C / L 6, v"1 MANAGER/AGENT NO P.O.BOX ADDRESS —ADDRESS CITY, STATE,ZIP_ �nlP S / /l;a �/I / � CITY, STATE, ZIP RESIDENCE PHONE% �b„}I �S� '�7� E:p BUSINESS PHONE(241IRS) BUSINESS PHONE 7 / ,Z s —,�I 61 0 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. �01. r�, 4. 1 1� 5. )6:51)j� K ✓y 7. 8. Fv 11%3 jh 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 TTH�E'TIME OF INSPECTION APPLICANT'S SIGNATURE /C✓t �� DATE Inspectors use only Date on initial inspection: U Date of reinspection: Date of issuance of certificate: () Date fee paid: r� 0 Type of unit: Dwelling ko'� Other Check# –70 Check date: 4�j� I a /V/0 �] Notes: its l r�. • 1 U U((� i! iii �1�P, ��V 1 l-7*- Cl oq /II _r2C/y'�� ` ode nforc mentInspector `� CITY OF SALEM, MASSACHUSE`rFS " BOARD OF HEALTH 120 WASHINGTON STREET,4� FLOOR TET.. (478)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0342i MAYOR r)GRGfiN]3AUMf4?aSALE.M.00M DAvTDGREENBAUM - ACTING HEALTH AGENT - CERTIFICATE OF FITNESS CERTIFICATE#' 625-09 DATE ISSUED: 12/11 /09 Property Located at: 67 Hathorne St Unit 2 Owner/Agent: Patrick Tobin Address: 11 .Algonquin Rd City/Town Danvers MA 01923 Phone: 978-750-8716 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance.with 105 CMR 410:000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DA I�NBAUM, V ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS lu BOARD OF HEALTH 120 WASHINGTON STREET,41°FLOOR PablicHeaIth , 1'mvem.1'rnmum. 1•m,nm. TEI.. (978) 741-1800 Fax(978) 745-0343 KIMBERLL;Y DRISCOLL liamdin n,salem.com 1.,.\RRY R.\MllIN,IiS/RI Sl IS,C:I10,(;I'-I-ti MAYOR JJUAJ;l'F A(;I:X1, CERTIFICATE OF FITNESS CERTIFICATE# 160-12 DATE ISSUED: 4/27/2012 Property Located at: 68 Hathorne Street UNIT# Owner/Agent: Elane Veloukus Address: 56 Essex Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-273-4972 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 e f, HEALTH AGENT ANIT ARIA e R CITY OF SALEM, MASSACHUSETTS BOARD OC'HEAT TH � �� 120 WASHINGTON STREET,4."FLOOR TEL. (978)741-1800 KiMBERLEY DRISCOL.L FAx(978) 745-0343 MAYOR Llt'Nmu�rN@<, x-m.com LAIiRYRAMDIN,RS/It'EF[S,C[IO,CI?-I'S HFr11T[I ACit?Nr Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" rr FEE: $50.00 PROPERTY LOCATED AT—Q- i&/0d - a=S6-.6,r1A Cfi) 70 UNIT#-7: _ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLE ONE OWNER/LESSER E&I,neUC�Uttkh! MANAGER/AGENT_. 56m.1- NO P.O. BOX / ADDRESS 5(O Fzrvex �2_ —ADDRESS CITY, STATE, Z1P_j efn .� Q 1170 _CITY, STATE, ZIP RESIDENCEPHONE 71 ,27'1,-4c17Z _BUSINESSPHONE(24HRS) BUSINESS PHONE SLIM t TOTAL NUMBER OF ROOMS: ROOM USE: 2� �eZ • IttkG�� 4 �IEy 5 efa�I 661 a. r Z 7. &. 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& V s . DATE 27_1 Inspectors use only Date on initial inspection: H a7 Ila Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling_ Other Check#_�, � Check date: t Notesr_- l=6_x .. ._-6 Alff � p Il G I l OY1 - Co cement Inspector .�o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH R 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA O 1970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#276-04 DATE ISSUED: 06/28/2004 Property Located at: 68 Hathorne Street UNIT#2 Owner/Agent: Al Masone Address: 14-16 Burrill Avenue City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone: 781-599-9479 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 If'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 ENFORCEMENT IN OR yy CITY OF SALEM, MASSACHUSETTS vY ,w �y BOARD OF HEALTH • 120 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 VC., S�C-etc'_r UNIT# Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER MANAGER/AGENT �— No P.O. Box No P.O. Box ADDRESS kA, V. ADDRESS CITYLyN�1 Mp C�\°SOT CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) it BUSINESS PHONE 11 TOTAL NUMBER OF ROOMS: Co ROOM USE: 1. LtL 2. IJP 3. V R 4. �R 5. W0r- 6. Q�_k 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 41 / D ATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_'�az� TYPE OF UNIT: DWELLING _OTHER_ CHECK#_ CHECK DATE G/ NOTES: / CODE ENFORCEMENT INSPECTOR 9/28/98 f r= °oND City of Salem, Massachusetts a Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth NS MA 01970 ''.Prevent Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL•17-171 DATE ISSUED: 6/15/2017 Property Located at: 69-71 HATHORNE STREET UNIT#1 Owner/Agent: Altagracia Gomez Address: 69/71 Hathorne Street Citylrown: Salem, MA Zip Code: 01970 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 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 CITY OF SALEM, MASSACHUSETTS BOARD OF HEAL:rI-I 120 WASI-IING'I'ON S'rRliET,4°'FLOOR TEI.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDINQaSALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEAL'1'FI 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" sfi� FEE: $50.00 PROPERTY LOCATED AT l ll � UNIT#�IS THIESIGNATED AS RIGHT LEFT FR OR IIAC&PLEASE CIRCLE ONE OWNER/LESSER AdCii� lC�i �i MANAGER/AGENT ADDRESS 40�� GJYC� ADDRESS q /� CITY, STATE,ZIP CITY,STATE, ZIP /` p`/ b /0 7 b RESIDENCE PHONE ' �� ✓� BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF,1ROOMS:– j ROOM USE: 1. f� 2. (� 3. 4. l 1` khk1 5.1 6. 7. 8. 9. 1.0. 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 G�2Q— DATPa17 Ins ectors use onl Date on initial inspection: I 1"C l� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: 1 1410- Notes: Code Enolcemen In t co CITY OF SALEM, MASSACHUSETTS �g(� BOARD OF HEALTH e 120 WASHINGTON STREET, 4TH FLOOR ` SALEM, MA 01970 'q� r^- TEL. 978-741-1800 �Nrl� FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT February 19, 2003 Robert& Marie Gershaw P.O. Box 706 Middleton, MA 01949 PROPERTY LOCATED AT 69-71 Hathorne Street Unit#2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 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. —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 ($20.00) 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 tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to tJ Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector 4 CIT"Y OF SALEM, MASSACHUSETTS lu BOARD Ol�HEALTH 120 WASHINGTON STREET,4"'FLOOR pll.,W liealth r�o - 1`L. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL 1ramdinQsalein.com LARRY I2A M7)I,N,12S/RLRS,CHO,CL ll MAYOR HG,N CI'I AG N CERTIFICATE OF FITNESS CERTIFICATE#153-12 DATE ISSUED: 4/12/2012 Property Located at: 70 Hathorne Street UNIT# Left Owner/Agent: Elaine Veloukas Address: 56 Essex Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-273-4972 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 HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH J ! � 12- 120 WAtiI-IINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LaAMD�N(�s v,e.m(.cow LARRY RANID1N,RS/RV-'HS,CI to,CP-FS H r'm xi I AG I:SN'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" 'l '' 11 'q FEE: $50.((00 Il PROPERTY LOCATED AT 76 YAC U(/I ST l Le.F k J SIC(') UNIT#� IS THIS`U'NITiDISIGNATED AS RIGH EFT BRONT OR BACK,PLEAS CIRCLE ONE OWNER/LESSER VICII ne, �/ Elvia 637 MANA AGENT NO P.O. BOX L ADDRESS ;& C)�,SfKS/�T a ADDRESS CITY, STATE,ZIP Wh� 1 y1A 011-70 CITY, STATE,ZIP RESIDENCE PHONE R7,V 17 3"�cffZ BUSINESS PHONE(24HRS) (�Le BUSINESS PHONE , iA TOTAL NUMBER(OF ROOMS:_ ROOM USE: 1. Lwu \� ism 2. W11 h, 9b 3 &/JaOjo 4 �t�w, 5 W� 6. SLfb( JW + 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 FEEEIIS/PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE S V q, i DATE Inspectors use only Date on initial inspection: I�'I Date of reinspection: Date of issuance of certificate: . Date fee paid: OW 2 Type of unit: Dwelling Other Check# ��.Check date: Ll � ) Or: Notes: Code Enforcement Inspector / a e• CITY OF SALEM, MASSACHUSETTS I(, BOARD OF HEAUM 120 WASHINGTON STRFuT,4"'FLOOR TEL. (978)741-1800 KINIBERLFY DRISCOLL FAX(978) 745-0343 MAYOR L! MAIN a SAI.I M COM I.ARRY,RU NI DIN,RS/RI'A IS,O 10,(a'-ICti t-IF,AIXH A(;FN'r Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter 1I 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 lose or injury sustained of whatever nature and description occasioned by my/out absence during said inspection. Tenant/Lessee Owner/Lessor Address Address -70 lWne Address on unit to be inspected Date Updated 5/23/11 o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 Mn� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#492-04 DATE ISSUED: 10/28/2004 Property Located at: 70 Hathorne Street UNIT#2 Owner/Agent: At Masone Address: 16 Burrill Avenue City/Town: Lynn, MA Zip Code: 01902 24 Hour Phone: 781-599-9479 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. �.�OF�THE BOARD O HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ' i CITY OF SALEM, MASSACHUSETTS 9� -0� y BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR t 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 SC) SjCK UNIT# Z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNERILESSER P\ N1c,Sove MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS l(. Butt-%M Q�.r ADDRESS CITY L 0\5D2.. CITY RESIDENCE PHONE '18� AIR t4'6BUSINESS PHONE (24 HRS.) l� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1., Ll� 2. 3. ✓,; 4. yScX_k 5. 62 6. 4)� 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE \O Z60�4\- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATEA/ /A4 '0 � DAATEEF,EE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK# 7 /g 6 CHECK DATE,6D��q y NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR xau,c,N Bnumlln�sni a+nl.ca ni DAVID GR¢F;NBAUN4,RS ACTING Hle\I:TII AGISN,i, CERTIFICATE OF FITNESS CERTIFICATE #429-10 DATE ISSUED: 9/3/2010 Property Located at: 71 Hathorne Street UNIT# Owner/Agent: Altagnacia Gomaz Address: 69 Hathorne Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-979-5185 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 BOARJD OF HEALTH I DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR ..r . i CITY OF SALEM MASSACHUSETTS () BOARD OF HEALTH 120 WASHINGI"ON S'I'REE'P,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR 1)G1U?GN13AUM(/Sm.13NI.COM DAVID GREENBAUM,RS ACTING HF—ALTH 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 .-7 / u��+_(YPt 54. PROPERTY LOCATED AT r (I / UNTf#-�f— IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER &4 ' e2,f%ao Z MANAGER/AGENT NO P.O. BOX �+ ADDRESS !2 6�� ADDRESS CD CITY, STATE,ZIP --�ex� CITY, STATE, ZIP Y 1, 9- 0 e RESIDENCE PHONE % d -7'� 3 Z'6 '/ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER 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 TIME OF INSPECTION APPLICANT'S SIGNATURE . DATE-( l! 110 Inspectors use my Date on initial inspection: 1 6 Date of reinspection: Date of issuance of certificate: o Date fee paid: 3 Type of unit: Dwelling/Other Check#�`�Check date: / 3 /V Notes: ? , �1'Z5 C6M n room I/I �a etur l 6/1 �t CcS n Code Enforcement Inspector v CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT. MPH,RS,CHO NINE NORTH STREET H8/ Date: 0 TO 4/9 8 740-97 NT Fax:(978)741-1800 05 Peter Carnicelli 6 Whittier Road Marblehead, MA 01945 PROPERTY LOCATED AT 72 Hathorne Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. 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 thisprocedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (978) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, FOR THE BOARD OF HEALTH REPLY TO qV-9-�"" Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR