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HAZEL STREET e 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 04/30/2001 Robert Meehan 8 Larchmont Road Salem, MA 01970 PROPERTY LOCATED AT 2A Hazel 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; State Sanitary Code, Chapter I: General Administrative Procedures. and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at .978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday �. thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25..00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used I exclusively by that tenant. The Department -of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F R THE BOARD OF HEALTH - REPLY TO I anne -Scot MPH,RS,CHO PABLO VALDEZ ealth Agent CODE ENFORCEMENT INSPECTOR I � CERT.# 285-98 FEE $25.00 3 $J DATE: 05/12/98 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: 2A Hazel Street UNIT #: 2 OWNER/AGENT: Bob Meehan ADDRESS: 8 Larchmont Road CITY/TOWN: Salem MA ZIP CODE: 01970 24 HOUR PHONE: 744-2507 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 - Q JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �WED MAY 1 2 1998 CITY OF SALEM BOARD OF HEALTH CITY OF SALEM �� Salem,Massachusetts 01970-3928 HEALTH DEPT JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax.-(508j740-9705 IN ACCORDANCE WITH STATE SANITARY!CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS'.OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Z� / �} / / UtTIL # OWNER/LESSER �44400 ) MANAGER/AGENT/ ADDRESS ADDRESS CITY r `_ /1/1 - CITY RESIDENCE PHONE.. ?�6- BUSINESS PHONE (24 HRS.) BUSINESS PHONE �Sov TOTAL NUMBER OF ROOMS:_ ROOM USE:. 1. /F? 2. kzl- 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 SIGNATUREy' �.1 /�(/ DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:a-a3-g8 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _/ a DATE FEE PAID:y' TYPE OF UNIT: DWELLING OTHER NOTES: V _ CO E ENFORCEMENT INSP TOR 4 M 3 � �841PB 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. 12/30/97 Fax:(978)740-9705 Robert LynessI' 209 Bay Road S. Hamilton, MA 01936 PROPERTY LOCATED AT 2A Hazel 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. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment. Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY. Very truly yours, FOR THE BOARD OF HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR L Il CERT.# 916-95 " - FEE $25.00 3 g; DATE: 03/11/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (508)741-1800 Fax: (508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 2 Hazel Street UNIT #: 16 OWNER/AGENT: Brian Kelley ADDRESS: 56 Sunnyside Avenue - - CITY/TOWN: Reading, MA ZIP CODE: 01867 24 HOUR PHONE: 944-0321 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 I1, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) ; ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: - NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR q/6 3 R CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY! CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATIONN". 1( PROPERTY LOCATED AT C Pj I V� UNIT I �/ OWNER/LESSE RS �l ly ( I E y MANAGER/AGENT ADDRESS ADDRESS CITY e,/ CITY _ 'RESIDENCE PHONE 617 9, /7C 7 '7O� —7 BUSINESS PHONE (24 HRS.) BUSINESS PHONE �� o / /22 / TOTAL NUMBER OF ROOMS: / 1_ ROOM USE: I. pLIlel 2. geul2tm 3. s.U �irci0l� 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS P YABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE (✓ DATE C S __ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: /2 qS DATE OF REINSPECTION--- DATE EINSPECTION _DATE OF ISSUANCE OF CERTIFICATE: I/- 9 G DATE FEE PAID: / /y yS TYPE OF UNIT: DWELLING' J OTHER &,� NOTES: ,�/BeC('S S "a�=c �¢�8C�wS .Bar+ w, /lccoCS T b leX I1 - n 1V✓ C�en.neg" o�-� r l-��? S �c rrL c:.v ''cw". � Sc,, q �.,�c o� L` ` � 2 u. Ce��`�4 .:Q. ✓'e�nq:../— CODE ENFORCEMET INSPECTOR 0ND1T,��, City of Salem, Massachusetts m Board of Health a 120 Washington Street, 4th Floor, Salem, PubliCHealth MA01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-207 DATE ISSUED: 6/13/2016 Property Located at: 3 HAZEL STREET UNIT#1 Owner/Agent: Jon McCarron Address: 44 Pond Street City/Town: Essex, MA Zip Code: 01929 24 Hour Phone:(978) 768-9044 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 SANITARIAN `i CITY OF SALEM, MASSACHUSETTS s BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMD1N' SALErt Co1I LARRY RAI I)IN,RS/REHS,CHO,CP-FS 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" 1 FLEE: $5000 PROPERTY LOCATED AT l� S ( ' G ' UN1T# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER �c)�n Hc-G-( (,d n MANAGER/AGENT NO P.O.BOX ADDRESS 1 �6 �� T rf� ADDRESS CITY, STATE, ZIP �S srrM/ I `t CITY, STATE,ZIP RESIDENCE PHONE el 7 6' 1 b �1 ®�� BUSINESS PHONE(24HRS) BUSINESS PHONE �L3�� TOTAL NUMBER OF ROOMS: [ m ROOM USE: 1. � T� 2.�� > 3. bvfh 4. YP—kQ) 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 AYABLE AT THE TIME OF INSPECTION I APPLICANT'S SIGNATURE I DATE UInspectors use only Date on initial inspection: f)LI/ in I Date of reinspection:Omo% OIL Date of issuance of certificate: W07�1�z Date fee paid:o"W, 16 Type of unit: Dwelling�Other Check#2-�O Check date: 04&Z 2,0.1, Notes: SM f Sil,09 r , S o p f 1(,�m la-cics 6af42Ys o I rcement pec to r City of Salem, MassachusettsIV r 1 Board of Health �y��,r� 120 Washington Street, 4th Floor, Salem, 11 Prevent. Proma MA 01970 e. Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Rarndin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-279 DATE ISSUED: 8/3/2016 i Property Located at: 3 HAZEL STREET UNIT#2 Owner/Agent: Jon McCarron Address: 44 Pond Street City/Town: Essex, MA Zip Code: 01929 24 Hour Phone:(978)768-9044 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 11 "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. &JelfW,4�V Larry Ramdin, MPH, RENS, CHO SANITARIAN HEALTH AGENT CITY OF SALEM, MASSACHUSETTS 7,1 BOARD OF HEALTH 120 WASHINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN&ALEM COM LARRY RATMDIN,RS/REHS,CHO,CP-FS 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" f FEE: $50.00 PROPERTY LOCATED AT ZG j ST/q I UNIT# IS THIS UNIT DLSIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �°n ! I C(^r re -\ MANAGER/AGENT / ADDRESS 7 Gl /P r,dl ST/ceT ADDRESS CITY, STATE,ZIP S SEx �� y� `� C]TY, STATE,ZIP RESIDENCE PHONE q 4+d39-3G 3 3 BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOMUSE: l.�L'r�(aoM 2.Liu,tis (L�� 3. /Dee 4A;Fetv ,, g &'f416 6. 7. V 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 I t APPLICANT'S SIGNATURE S--L- � DATE Inspectors use only Date on initial inspection: ©VD. afJ. Date of reinspection: Date of issuance of certificate: Date fee paid: 09101(2-a4 Type of unit: Dwelling Other Check#Check date: Q?MI l t9�� Notes: C d •nIlrcementKpector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH . 120 W\SHINGTON S1'REE'I>4..'FLOOR Pth Prevent Prumute.Protect. 'TEL. (978) 741-1800 Fax O78)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYORL:\RRY R�\NIDW,RS/IiEHS,CI IO,U-16Hu"AIA'ii AGENT 1 i ' l CERTIFICATE OF FITNESS CERTIFICATE#57-15 DATE ISSUED:2/26/2015 Property Located at: 3 Hazel Street UNIT#3 Owner/Agent: Jon McCarron&Juddy Dean Address: 44 Pond Street City/Town: Essex, MA Zip Code: 01929 24 Hour Phone: 978-768-9044 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 ti"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 LAI� RAMDIN / HEALTH AGENT SANITARIAN a • CITY OF SALEM, MASSACHUSETTS n/ BOARD OF HEALTH 120 WASHINGTON STREET,4 ..FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR IRAMDIN9ALFM.COM LARRY R-mA1D1N,RS/RI21-IS,CHO,CP-PS HL?ALTf-I AGI 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 ` ST 1 FT, SALVA, MA UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNEWLESSERIO°\ `L�`hlor�/ Tti�c�y b�ZSr MANAGER/AGENT BOX I ADDRESS L! L! °'�`l Jl e ADDRESS CITY, STATE,ZIP FSStX, (o Lrk 1c� CITY, STATE, ZIP RESIDENCE PHONE I - l Ut{y BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:- -3 ROOM USE: 1. �'bC� 2.�: vin 3.k-�4cke,-) 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 ISS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �� ' DATE2-7-G-15 —\1/ / Inspectors use only Date on initial inspection: a' /� Date of reinspection: Date of issuance of certificate: Date fee paid: / Type of unit: Dwelling Other Check# Check date: O Notes: Code'Plifoir,edment Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .�, TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 2/22/05 Shila Duffy 483 Prospect Street Methuen, MA 01844 PROPERTY LOCATED AT 4 Hazel Street 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 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. Focthe Board of Healtthhh Reply to 1 � 4 ,panne 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 01970 TEL. 978-741-1800 FAX 978-745-0343 — STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Douglas & Geraldine Linehan 21 Temi Road Beverly, MA 01915 PROPERTY LOCATED AT 4 Hazel 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 anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM MASSACHUSETTS .f .� BOARD OF HEALTH :q 120 WASHINGTON STREET, 4TH FLOOR & SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Douglas Linehan 21 Temi Road Beverly, MA 01915 PROPERTY LOCATED AT 4 Hazel 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 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. F F the Board of Health Reply to �x-t" oanne 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 01970 TEL. 978-741-1800 -- FAx 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Douglas Linehan 21 Temi Road Beverly, MA 01915 PROPERTY LOCATED AT 4 Hazel Street Unit 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. 1oa r the Board of Health Reply to nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CERT.# 272-97 3 5t FEE $25.00 DATE: 05/01/97 MING CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 5 Hazel Street UNIT #: 2 OWNER/AGENT: Ed & Jacqueline Gauthier ADDRESS: 167 Marlborough Road CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-3983 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 I� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO HEALTH AGENT NINE NORTH STREET Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �S 9A2EL ST UNIT �0 mue dJE 1"i IIFIQ MANAGER/AGENT ` OWNER/LESSER ADDRESS p� � x (�'�J ADDRESS CITY_ —`� CITY .,RESIDENCE PHONE '745' ;�9 • BUSINESS PHONE (24 HRS.) BUSINESS PHONE ' 4 4!t o 15 i TOTAL NUMBER OF ROOMS= y �1 �A} ROOM USE: 1.- 2. O� s. 4 .B'"��/5. � 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 PARTMENT THIS FEE IS PAYABLE A/yT THE TIME OF INSP,ECCT�IION APPLICANTS SIGNATURE t� —DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: -<'--/ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: J� TYPE OF UNIT: DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR CT-1Y OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR PublicHea Ith 'f EL. (978) 741-1800 F:AR(978) 745-0343 KIMBERLEY i)RJSCOLL tramdin(a�salem.com LARRY li,AMl)1N,RS/RG:HS,CFIO,CP-I�S MAYOR HB.;\I:;n I Ac�Ii:NI' CERTIFICATE OF FITNESS CERTIFICATE# 199-12 DATE ISSUED: 5/10/2012 Property Located at: 6 Hazel Street UNIT# 1 Owner/Agent: 6 Hazel St Realty Trust Address: 3 Emerson Lane City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: 978-750-4005 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 HE ARD HEALTH LARRY RAMDIN 4 HEALTH AGENT Cr NITARIAN I A _ CITY OF SALEM, MASSACHUSETTS rBOARD OF HEALTH Ui 120 WASHINGTON STREET,4 'FLCx}R f } TEL. (978)741-1800 !� K.IN BERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMI)IN l ALL-M.COM LARRY RAMI}IN,RS/RFI-IS,CHO,CP-M'S HEAI:ITI 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 6'h t-?2CC :S7, UNTf# _ IS THIS UNIT DISIGNATED AS RIS LEFT FRONT OR BACK,PLEASE MCLE ONE OWNERILESSER 6 Hli2c L n%Pq L;T'� rKu S j MANAGEwAGENT & NO P.O.BOX ADDRESS .3 GNC12 SON LJw C ADDRESS SRPl CITY, STATE,ZIP STATE,ZJP 0l RESIDENCE PHONE j?O 73/9-0 7 ( BUSINESS PHONE(24HRS) 'W 150 4f'O o r BUSINESS PHONE TOTAL NUMBER OF ROOMS: .__,r ROOMUSE: LJ OTOICN 2.44ViA*s OtOW3. 660000H 4.667090c>"y 5 0F11(-e 6. 60 T RQ(,0st 7. S. 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 JHE TIME OF INSPECTION APPLICANT'S SIGNATURE ` DATE ,5-i0-12- . Inspectors use only Date on initial inspection: I 11 O� � T Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# 6.3 Check date: ` 0 )� ) Notes: /Y1 O f a 1 � Y t 1 T+� i3O A Q{Y e E ementt h-Wector CITY OF SALEM, MASSACHUSETTS Bo,-�Rn oi;tfF--\rrx 1�ublicHealth 120 WASHINGTON STRRET,4u.FLOOR To- (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOL.L lramdal a)saleimcom L,Atm RV�IDIN,Rs�R1,115,(,fIXl,(;P-FS MAYOR HF.AMI I AC UNP CERTIFICATE OF FITNESS CERTIFICATE # 198-12 DATE ISSUED: 511012012 Property Located at: 6 Hazel Street UNIT#2 Owner/Agent: 6 Hazel St Realty Trust Address: 3 Emerson Lane City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: 978-750-4005 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 AMDIN HEALTH AGENT SANITARIAW �i a P CITY OF SALEM, MASSACHUSETTS L BOARD OF HEALTH II Aoa 120 WASHINGTON STREET,4""FLOOR - ) TEL. (978)74171800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMUIN(Ia MEM.COM - LARRY RAMDIN,RS/REI-I5,CIA),CP-FS HEALI I 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 C M20(_ ST UNIT# z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE OWNER/LESSER 6ov12EL acigLTV _rleyS 7 MANAGER/AGENT f!Ni0N/ O'')NCOYic .O. NO PBOX ADDRESS .3 GNERSON LJNC ADDRESS Sgpf C-7- CITY, =CITY, STATE,ZIP_kD Le70a n13- CITY, STATE,ZIP__0 q 5 9 RESIDENCE PHONE j 1 7-j/20 BUSINESS PHONE(24HRs) qV 750 art?0 S BUSINESS PHONE TOTAL NUMBER OF ROOMS:. ROOM USE: 1.KITC11EN 2.1/VIN6ODW3. dC0R0on 4.86.0900" 5 OICe 6. ISW T H Q000 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 PIE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE 5—IO'1 Z . Inspectors use only Date on initial inspection: 110 Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Q 3 Check date: d lN�otes. /11 �I IR h .Y t +l7 h�� A:kbam* 16 0 C e E ement Inspector 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 07/03/2001 Fax: (978)-745-0343 Ten Hazel Street Realty Trust c/o Frederick Richard, Trustee One Toppan Lane Wenham, MA 01984 PROPERTY LOCATED AT 10 Hazel 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; 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. THE BOARD F HEALTH REPLY TO 4OR oanne Sc t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR 1 v � ,.� Sg l i �• S. b . . _ � COW 1't0 CERT.# 525-99 FEE $25.00 N DATE: 09/10/99 ��MIN6 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: 10 Hazel Street UNIT #: 1 OWNER/AGENT: William Guzowaki ADDRESS: 35 Liberty Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-5270 AN INSPECTION OF, YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 9e� 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 i6d2-7-C.1 S�- UNIT#j IS THIS UNIT DESIGNATED ASIR GHT LEFT FROS5NT BACK PLEASE CIRCLE ONE OWNERILESSERUj[( 2w4 �y e ii r � ANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3S Lr et f yp rI�ADDRESS CITY Vi c.)PY5 CITY RESIDENCE PHONE �7.P 77 (/ .5�7(ZBUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: l.."g, 2. ,,r_3. "04 4. 5.3iyturi 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 Qa� �Q �DATE — O- ' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ?( -la - q� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING/OTHER_ CHECK#!3RD CHECK DATE (y f NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ♦J � d B tap CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of tke Cit- of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, I/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 agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspecti-on. r2 kxp TENANT/LESSEE OWNER/LESSOR ADDRESS _— --_ ADDRESS �a�� rs lila 6192-3 _ 6 14,�) L ADDRESS OF UNIT TO BE INSPECTED DATE CERT.# 406-97 3 FEE $25.00 DATE: 06/30/97 MIPB CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 10 Hazel Street UNIT #: 2 O',TNER/AGENT: Claudette Guzowski ADDRESS: 35 Liberty Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-5270 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. �FO THE BOARD OF HEALTH / "l-`'� z JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, .CHAPTER II , 105 CMR 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 6— L LMT # OWNER/LESSER_Cjf Cf_0 (7— G �i z O w Sh J MANAGER/AGENT ADDRESS 2, _3 L- ( )36 jAr [ S7 ADDRESS CITYD ti 1�C/C � CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE — TOTAL NUMBER OF ROOMS:___ ROOM USE: 1 . 2. 3. 4 . 5. 5. 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_a& - - .C,.-. DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:--�—Q �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: , 7-_DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ NOTES : CODE ENFORCEMENT INSPECTOR G� to- / �v��CONDIT n C 3 e��MM6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 09/05/2000 Tel:(978)741-1800 Fax:(978)740-9705 Frederick Richard 10 Hazel Street Salem, MA 01960 PROPERTY LOCATED AT 10 Hazel 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. R THE BOARD OX HEALTH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR J :! ♦�T I.C, s 9�'C/y/NE p0 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 120 Washington Street 4'floor JOANNE SCOTT, MPH, PS, CHO Tel: (978)741-1800 HEALTH AGENT Fax: (978)745 0343 08/21/2001 William Guzowski 35 Liberty Street Danvers, MA 01923 PROPERTY LOCATED AT 10A Hazel 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; 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 oanne Sco , MPH,RS,CHO PABLO'VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR F C q 7 � �`r9 e��M1NE CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 09/11/2000 Fax:(978)740-9705 William Guzowski 35 Liberty Street Danvers, MA 01923 PROPERTY LOCATED AT 10A Hazel 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 inspectedand- certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Proceduresand105 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 . F HEA TH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ♦t 6�CONDIT v I 9e�IMINE C>V� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 08/24/2000 Fax:(978)740-9705 William Guzowski 35 Liberty Street Danvers, MA 01923 PROPERTY LOCATED AT 10a Hazel 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 lettingagreement statin the tenant is responsible for those 9 g P 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 . THE BOARD O HEAL H REPLY TO oa�e�,, MP� PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 M�� v JOANNE SCOTT,MPH,RS,CHO ✓ NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Date: 08/25/95 ✓�� Fax:(508)740-9705 William & Claudette Guzowski 35 Liberty Street Danvers, MA 01923 PROPERTY LOCATED AT 10A Hazel 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 this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department . Contact this department within 24 hours of receipt of this notice. (508) 741-1800 Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. or Friday 8:00 a.m. to noon to schedule an appointment for an inspection. SEE ENCLOSED SECTION 105 CMR 410.354 METERING OF GAS & ELECTRICITY Very truly yours, / XOR THE BOARD/fs� HH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3} 120 WASHINGTON STREET, 4TH FLOOR . c SALEM, MA 01970 9q4 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 194-05 DATE ISSUED: 3/21/05 Property Located at: 13 Hazel Street UNIT#2 Owner/Agent: Marilyn Hurley Address: 13 Hazel Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-5471 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 '? t HEALTH AGENT C ORCEM NT SPECT R CITY OF SALEM, MASSACHUSETTS ,ffjj BOARD OF HEALTH �Yrl .� • i 120 WASHINGTON STREET, 4TH FLOOR /� `�1►► SALEM, MA 01970 `W TEL. 978-741-1800 JNY FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE" SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT /3 (1 0 1e IST�Sf} c � N7p UNIT # CJIg76 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSER V11g2rc�IAJ ti!• KuzrFlf MANAGERIAGENT No P.O. Box No P.O. Box ADDRESS 1.2 NUZe( ST. ADDRESS _ CITY 5g(_e V" //1'7 01 q-7 CITY RESIDENCE PHONE -7 c,S ' BUSINESS PHONE {24 HRS.)--/U,4 4�f BUSINESS PHONE TOTAL NUMBER OF ROOMS: 6- ROOM ROOM USE: 1..W'7' 2... �.—_3. � 4. p- — 5.- /2 6. THERE IS A TWENTY-FIVE(525.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. y� '' APPLICANTS SIGNATURE !h / l N�� _ DATE � JO 0-�'_ _ INSPECTORS USE ONLY. r DATE OF IO INITIAL INSPECTN ' t 1 �_ Y ,DATE OF REINSPECTION_. i DATE OF ISSUANCE OF CERTIFICATE:; `L 7"' ' DATE FEE PAID: 3— 1_7 a � TYPE OF UNIT. DWELLING _ THER,__ CHECK #_y 7;,�'_CHECK DATE-?-,/ _ CODE ENFORCEMENT INSPECTOR 9128/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 9 ro � 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 3/11/05 Marilyn Hurley 13 Hazel Street Salem, MA 01970 PROPERTY LOCATED AT 13 Hazel 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 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. Four the Board of of HHe-/'+allltth�c Reply to �6ahnelScdtt MPH;RS, GHO Pablo Valdez ealth Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARS?OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR JMMANCINI([ ,M, Nt.00Nf JANET MANCINI ACTING HFALTI3AGEN'i' CERTIFICATE OF FITNESS CERTIFICATE#653-08 DATE ISSUED: 12/23/2008 Property Located at: 16 Hazel Street UNIT# Owner/Agent: Antonio Adras Address: 9 Allen Road Ext. 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 11" 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 ACTING HEALTH AGENT CCWNFORCEMT INSPECTOR • CITY OF SALEM, MASSACHUSFITS BOARD OF HEALTH 120 WASHINGTON STREET,4"FI,oOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 i MAYOR IDIONNJF,�@sAILNt.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT 10. L S? UNIT# 1u t! it IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACKS PLEASE CIRCLE ONE OWNER/LESSER Ilyrro1. ,o kb*WcS MANAGER/AGENT --� NO P.O. BOX ADDRESS CA &I--LeO P.' & -T ADDRESS CITY,STATE,2IP 26 0'>y-v'A 6- 01q 60 CITY, STATE, RESIDENCE PHONE � g Z Q{o SI{ BUSINESS PHONE(24HRS)_, BUSINESS PHONE 61 - 530 ~S4 ZI TOTAL NUMBER OF ROOMS: ROOM USE: I. LAA vv 46x"2. ivm% 3. U 4. b=01 �-r 5. �tY +"y 6 7 �� 0fpplLE 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 qZ310t Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: yy Date fee paid: I /13-W Type of unit: Dwelling #� l Other Check Check date: J'_ld_ Notes: Code Enforcement Inspector �pND City of Salem, Massachusetts a Board of Health 10 120 Washington Street, 4th Floor, Salem, �< moHeaith MA 01970 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-17-382 DATE ISSUED: 11/8/2017 Property Located at: 17 HAZEL STREET UNIT#2 Owner/Agent: Christina Wurster Address: 538 Powell Drive City/Town: Annapolis, MD Zip Code: 21401 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 FIFALT1 I 120 WASHING]ON SiRLLi,,4'"FLOOR TLL. (978) 741-1800 1 KINIBERLf"YDRISCOLL F,\x(978) 745-0343 MAYOR 1,um),R\NIDIN,RS/RFI IS,(1110,(T-FS f I I,;\1 1-111 A(;iNT 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 L UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O.BOX ADDRESS 538 ?Dwe (( r. ADDRESS CITY, STATE,ziPAr1naPc)/(s, ML) 21q0j CITY, STATE, ZIP RESIDENCE PHONE 9,S &-Sij- 507c) -BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS:— ROOM USE: 1. ge4 2. 3. &C/ 4. UkhRoq 5. �V4'✓oe 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 , EAT THEE 0 S WF INSPECTION 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: 4-a` n Code Enforcement Inspector CITY OF SALEM. NL�sSACHUSETTS BoARD or HT-jum-i 120 W.\SHINGION S1'PLEI',4 FLOOR TEL. (978) 741-1800 KINMERLEY DRTSCO]I FX(978) 745-0343 MAYOR LIZ�NIDIN(JiSAIRM.CON] LARRYRANIDIN,16/RN I5,CI10,(T-PS I li";\31i i t A(;[;N f Release In accordance with Massachusetts General Laws Chapter I I L Code of Massachusetts Regulations 410.000 et. Seq. State Sanitary Code Chapter 11 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. Cbni -6'na loss,, er Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 5/23/1) a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ms 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 196-02 FEE $25.00 TEL. 978-741-1800 D FAX 978-745-0343 DATE: 04/16/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 19 1/2 Hazel Street UNIT #: 2 OWNER/AGENT: 19_1/2 Hazel Street Trust ADDRESS: 35 Liberty Street CITY/TOWN: Danvers, MA ZIP CODE: 01923 24 HOUR PHONE: 774-5270 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 4JOANNE i /olla Lk-,o OTT, MPH,RS,CHO HEALTH AGENT 60ITE ENFORCEMENT INSPEC OR 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". //11 PROPERTY LOCATED AT I� !�L H 2 2=e !�± UNIT#Z IS THIS UNIT DESIGNATED AS RIGHT LM FRONT BACK PLEASE CIRCLE ONE // OWNER/LESSER JEJA / Sf Trije MANAGER/AGENT_C/2u � �.J2aoS1Cl IruStc-� No P.O. Box No P.O. Box ADDRESS 3,T— C r E'�y : 't_ —ADDRESS— CITY cITY 3 juri�1�- cITY RESIDENCE PHONE g7F7-7 `/ USINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: J ROOM USE: 1. 31r" 2, 04"tk, �&J_3 Kc _4- E �1�{ 5. �6. 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. �p APPLICANTS SIGNATURE DATE_ q- /5 _62 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION '/d .y ' _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: '/G C=DATE FEE PAID: z �' TYPE OF UNIT: DWELLING _OTHER_ CHECK# /Y -2 CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 ` CITY OF SALEM, MASSACHUSETTS ;. BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 W W W.SALEM.COM Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO Mayor HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#406-06 DATE ISSUED: 8/23/2006 Property Located at: 21 Hazel Street UNIT# 1 Owner/Agent: Marshall Strauss Address: 10 Chestnut Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-594-5067 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 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ��J 120 WASHINGTON STREET, 4TH FLOOR f,V•� SALEM, MA 01970 TEL. 878-741-1800 0 FAX 978-745-0343 JOANNE ScoT-r, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER it. 105 CMR 410.000. "MINIMUM STANDARDS OF FITNESS FOR S�FFOR HUMAN HABITATION". Tl PROPERTY LOCATED AT 2'e UNIT N IS THIS UNIT'DESIG'NATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNEWLESSERAtCkid9 OtuSr MANAGER/AGENT _ No P.O. Box /J No P.O.Box ADDRESS /© �/I�Sf�yvr S� ADDRESS CITY -Ca mlrl D/ f 7 0 CITY— RESIDENCE PHONE '77* 's 9y f06 ?BUSINESS PHONE (24 HRS) BUSINESS PHONE Surd e TOTAL NUMBER OF/ROOMS:--i— ROOM OOMS:iROOM USE: 1, L 7 2. r7p- THERE IS A TWENTY-FIVE(525.00) 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 .--4zl INSPECTORS USE ONLY DATE OF INITIAL INSPECTION , ' -p_f; _ DATE OF REINSPECTION ._ DATE OF ISSUANCE OF CERTIFICATE: !iJ- _a_t, DATE FEE PAID TYPE OF UNIT DWELL{ " OTHER _ CHECK 0 Z L CHECK DATE.- J3 r� NOTES _ .. . CGDE ENFORCEMENT INSPECTOR 9128/98 o CITY OF SALEM, MASSACHUSETTS c; -Al BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 -Y TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#617-07 DATE ISSUED: 12/13/2007 Property Located at: 21 Hazel Street UNIT#2 Owner/Agent: Marshall Strauss Address: 10 Chestnut Street Cit /Town: Salem MA Zi Code: 01970 24 Hour Phone: 978-595-5067 Y P 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 OA�TT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 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 D/ _ UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /Q��^I� 5�3 �iy/l MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS /0 C�/ �� - ADDRESS_ CITY SA p CITY RESIDENCE PHONE 1�� S9Y sa 6 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. G/? P. f)�? 3. 4. 5. .; _9 6. fe 7. Ff 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, F ANABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HETH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE jj INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONDATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/,- � 3 �/ ATE FEE PAID:_J��_ --a A ,-- TYPE OF UNIT: DWELLING�EOTHER_ CHECK# �7 O °I CHECK DATE NOTES: \ CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pu P«oblicmHealth MA 01970 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-17-384 DATE ISSUED: 11/9/2017 Property Located at: 21 HAZEL STREET UNIT#3 Owner/Agent: Marshall Strauss Address: 10 Chestnut Street City/Town: 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. 11 ki Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN .�o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH b' µ 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#: 390-03 DATE ISSUED: 7/31/2003 Property Located at:: 22 Hazel Street UNIT#: 2 Owner/Agent: Helena M. Morais Address: 22 Hazel Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7762 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. 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. 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 Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR l CITY OF SALEM, MASSACHUSETTS y +� BOARD OF HEALTH • i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 L�w~ 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(�FJJITNE/�SS FOR HUMAN HABITATION". PROPERTY LOCATED AT o-- ,Maze/ S lt. SGI Ctrl M rA • UNIT# z IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER.17�/e/lri M' NOrl.� MANAGER/AGENT No P.O. Box //`` No P.O. Box ADDRESS 72 A47e Sfi ADDRESS CITY `'adenyl CITY RESIDENCE PHONES?,?- 7YY C L Z BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OFROOMS: n� ((� ROOMUSE: tgeryou 2. 5A gfcA_6. Rllr 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 A �J& 4 mlji DATE -��- INSPECTORS USE ONLY DATE OF INITIAL INSPECTION7�R 10.3' DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE ' DATE FEE PAID: �7 ',U� TYPE OF UNJ.CDWELLING_OTHER_ CHECK# S79 CHECK DATE�3 � 0� NOTES: �� F2 7 T -n O F _ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS �. BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR e SALEM, MA 01970 ,yBp 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 111 ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author– ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in my/our absence, !/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. —_ - TE74ANTjLESSE1 O' WNER/i.ESSOR --��------- Z2_ Ze ( s �---- — ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE--- -- City of Salem, Massachusetts q Board of Health 120 Washington Street, 4th Floor, Salem, th pre.cmu MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHQ Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-147 DATE ISSUED: 5/17/2017 Property Located at: 24 HAZEL STREET UNIT#1 Owner/Agent: JWK Realty Trust Address: 39 Carson Terrace City/Town: Swampscott, MA Zip Code: 01907 24 Hour Phone:(978)729-3066 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 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. Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age. ,'/ ffre Larry Ramdin, MPH, REHS, CHO SANITA AN HEALTH AGENT • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN&ALEM.COM LARRY RAMDIN,RC/REHS,C1 10,CP-FS HEALTH AGENT J W'K � fir✓s t r, qm�u ,cmrt� Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FELE: $50.00 qq PROPERTY LOCATED AT� C/ I&XI ��/ UNIT# y IS THIS MT DISIGNATEDA3 RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER �ViJ I� r frL;itMANAGER/AGENT VA-5 t ( (a NO P.O.BOX F> ADDRESS J�PI CG�rS IQCI� ADDRESS A CITY, STATE,ZIP--s � ) �6�M C&Te CITY, STATE, ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1 k,f tPh.2 i0,YlI rt c 3 Al P� 4 �OJ�c/I✓I cc�.S 6. Lf&�Loav,r 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 PAYABLEAT THE TIME OF INSPECTION 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: Dwellin Other Check#- ice Check date: Notes: n, Cock F or ment Insp� for CITY OF SALEM, MASSACHUSETTS ' a' BOARD OF HEALTH 120 WASHINGTON STREET,4"FY.00R TEI.. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN&SALEM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGI3N1' Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its 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. s :7wX Ae6,1fy�/�fl 0, r" f - �41 Tenant/Lessee Owner/Lessor CCc�so� Address Address l Address on unit to be inspected Date Updated 5/23/11 CITY OF SALEM, MASSACHUSETTS BOARD OF Hr'ALTH. � 120 WASHINGTON STREET,4`"FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCO1:1:. FAX(978) 745-0343 MAYOR ncal�r:NnnumG� ,u.i;:na con+ D,\vu) GRITNBAum,RS AC'LING Flrl 1 n AGI•:N'I' CERTIFICATE OF FITNESS CERTIFICATE#546-10 DATE ISSUED: 11/19/2010 Property Located at: 25 Hazel Street UNIT# 1 Owner/Agent: Eduardo F. Alcontavo Address: 25 Hazel Street#2 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. FORI�dOF HEALTH /ow DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR �i CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STxEFT,4"'FLOOR TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR llGRL LNI3AUMSALF \7.COM DAVID GREENBAUM,RS ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT �`�/a � S f` UNIT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER 4- D(/ r4a �jo—Y .- MANAGER/AGENT NO P.O. BOX ADDRESS 2- j�47 -ell St APr--2— ADDRESS CITY, STATE, ZIPS 1'6zE,44 4ZA 04 fes- :�7 L2 CITY, STATE, ZIP RESIDENCE PHONE ('1q,<:r) L/O.7 2 R/ BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: tp ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM OARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION PLICANT'S SIGNATURE_ �/jA � DATE Inspectors use only Date on initial inspection: 116,110 Date of reinspection: Date of issuance of certificate: �v Date fee paid: C116 Type of unit: Dwelling_LzOther Check# `1 I l V Check date: 1 6 Notes: alt4 lohlbulL (IA Code En orce entInspector (/ ONDIN City of Salem, Massachusetts `µ I In a Board of Health 120 Washington Street, 4th Floor, Salem, Prevent.PIuliCroo ,Health MA 01970 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-16.468 DATE ISSUED: 11/30/2016 Property Located at: 29 HAZEL STREET UNIT#2 Owner/Agent: Erik Thelen Address: 11 Elm Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978)741-0507 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. JYJ ey 20sjy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSET S BOARD OF HEALTH 120 WASHINGTON STREET, fH FLOOR TEL. (978) 741-1800 IUMBERLEY DRISCOLL FA_x(978) 745-0343 MAYOR LRAMDIN(4�SALFM.COM LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGFNT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" q FEE: $50.00 PROPERTY LOCATED AT \ 1-1 a zel S�-Cee"V UNIT# Z IS THIS UNIT DISIGNATID AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER I�e�Zq�,MANAGER/AGENT NO P.O.BOX ADDRESS \\ E I m e ADDRESS CITY,STATE,ZIP SA, eV---\ CITY,STATE,ZIP M Is . o V�7u RESIDENCE PHONE 'A_)'6-_N-0S01 BUSINESS PHONE(24HRS) C1-1 s1 -5-l'i -S 3`-{ BUSINESS PHONE TOTAL NUMBER OF ROOMS: t-1 ROOM USE: I.Li ,l<,,ce+coaa k'c�.w\ 3. roo•� 4. le�W-NNN5. 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 C oI Aj , V vim. DATE \\ a Inspectors use only Date on initial inspection: 1V2` Date of reinspection: Date of issuance of certificate: q I Date fee paid: l /4) Type of unit: Dwelling V/ Other1 Check /# b6Check date: Notes: 70��InorS S ahf In pw her c/ iG�� ing'�SP C of rcement*ector r _ _ City of Salem, Massachusetts Board of Health V, e 120 Washington Street, 4th Floor, Salem, �PabliHetth MA 01970 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•17.308 DATE ISSUED: 9/15/2017 Property Located at: 29 HAZEL STREET UNIT#21- Owner/Agent: 2LOwner/Agent: Erik Thelen Address: 11 Elm Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 741-0507 I 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 11 "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 Ramdln, MPH, REHS, CHO HEALTH AGENT SANITARIAN I i i CITY OF SALEM, MASSACHUSETTS s ^ BOA RE,OF HEALTH 120 WASHINGTON STREET,4'FLOOR TFL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR LRAMDIN@SALEM.COM LARRY RAMDIN,RS/REI-IS,CHO,CP-FS 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 o2/��/tc�r'( ��i� ��O/1��15 UNIT# .22- IS 2LIS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT__ NO P.O.BOX ADDRESS �/ cc��7i ADDRESS CITY,STATE,ZIP fr��h! /� 0/9�Q CITY,STATE,ZIP RESIDENCE PHONE 9'8 �Y/-OSOZBUSINESS PHONE(24HRS) X1;F-9/S`0709 BUSINESS PHONE TOTAL NUMBER OF ROOMS: S ROOM USE: L4(/*ntuw 2. 3. �/uw+ 4. k�r4✓ 5.,g:0'7 4 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 ATT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �7 , 01 DATE /� Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: DwelGn Oth[e�rL y,� /CChecyk,#�Check date: Notes: ��T1 61�4�! kL��m�X—�'rraan In � n i1iindolI 17142Q✓1 .- Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HB.AI vT 120 WASHINGTON STREET,4'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR I.RAMDIN@R SALEM COM LARRY RAMDIN,RS/REHS,C1 10,CP-FS - HEALTH AG ENT Release In accordance with Massachusetts General Laws Chapter 111;Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance,undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its 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. Itwe 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 Address on unit to be inspected Date Updated 5/23/11 CITY OF SALEM, MASSACHUSETTS IV BOARD OF HEALTH - 120 WASHINGTON S'PREET 41°FLOOR PublicHeaith 'TEr.,. (978) 741-1800 FAx (978)745-0343 KIMBERLEY DRISCOLL liatndin nsalem.com LARRY tiAnnnN,as/Bettis,0d0,cr-F5 MAYOR HE[\t..Clt AGENT CERTIFICATE OF FITNESS CERTIFICATE#230-12 DATE ISSUED: 6/1/2012 Property Located at: 29 Hazel Street UNIT#2 Right Owner/Agent: Erik& Natalie Thelen Address: 11 Elm Avenue 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 �G LAARE MRA DIN HEALTH AGENT SANITARIAN CITY OF SALE , NI SSACHUSETTS o w LM BOARD OF I IHALTH FLOOR 120 WASHINGTON STREET,4m ? TEL. (978)741-1800 tl KIMBERLEY DRISCOL.L FAX(978) 745-0343 MAYOR U MUM e tiALLN1 QOM LARRY RAMDIN,RS/RF f IS,CI 10,CP-PS HEAL'I7I A.GEN'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" ii FEE-$^50.00 J PROPERTY LOCATED AT UNIT#d IS THIS UNIT DISIGNATED AS RIGHT LEVr FRONT ORB PLEASE CC CLE ONE OWNER/LESSER ,C -V- V-\) �Qz e2\MANAGER/AGENT NO P.O. BOX ADDRESS --,ADDRESS--- CITY, ADDRESSCITY, STATE,ZIP Sa ^-t ryr A , C71 cIa U CITY, STATE,ZIP RESIDENCE PEONE96"-14 1 ` 0 SC-'7 BUSINESS PHONE(24HRS)9-1 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ �—i._ 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 TIM TIME OF INSPECTION APPLICANT'S SIGNATUREjc r} Inspectors use only Date on initial inspection: O Date of reinspection: Date of issuance of certificate:_ Date fee paid:_ t� _ Type of unit: Dwelling Other Check#_� Qheck dater O Notes: S Dm j t i�, a _ Co rcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH � 120 WASHINGTON STREET, 4TH FLOOR !If a SALEM, MA 01970 TEL, 978.741-1900 FAX 978-7450343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNESCOTT COTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#194-08 DATE ISSUED: 5/1/2008 Property Located at: 30 Hazel Street UNIT# 1 Owner/Agent: Steven Lappin Address: 34 Auburndale Road City[ own: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-0243 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 E OFOLRCEMUENT I PECTOR 1 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 0 Kq_ KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR iscOTr(aSAia M.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 `MININIUM STANDARDS OF FIT".ESS FOR HUMA HABITATION." PROPERTY LACATED AT FIS j 5}re e+ UNIT#-j` ISS THIS UNIT 1DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE WNE ESSER b 1 e en LcrDni n MANAGER/AGENT NO P. . OX 1 I I e ADDRESS �b*AA Arnclole_ RCA ADDRESS CITY,STATE,ZIP Mw-66-lgecj, MA ()lq*iF CITY,STATE,ZIP RESIDENCE PHONE 2S I-�Z 3 BUSINESS PHONE (24HRS) BUSINESSPHONE TOTAL NUMBER OF ROOMS: ROOM USE: i. 2.Z11%mot-1 3 1Ci+ulnen 4 becicoorl 5 Redmoth 6 7. 8.1 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 FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE O W& Ins c rs use only Date on initial inspection: 41651/J g Date of reinspection: 6111tv Date of issuance of certificate: �2�6'�i Date fee paid: Type of unit: Dwelling—/—Other Check#— Check date: Notes: a l = h&v2 c Code it rcement Inspector CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX (978)745-0343 MAYOR sco rrnn sn a:mt.COM JOANNE SCOTT, HEALTH AGENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its 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. 1 �"eve,'1 Lc�Ppi� Tenant/Lessee Owner/Lessor b`1- Au6- rn4cule.jn Address Address `� � �� G-&.� +ree�-Iil�i1'i Address on unit to be inspected T Date r'V"J �� l/�'1 �'�/. /71/�Y j Gni/SFJ ��L^�• �r��/r� �� '�.S'S' � �LfGL✓ �j/s oG/✓�.fhz� � �� i enol owl/ c�Y'a- tX ,S�Y�T�- �J'C-�`�'' ��j�" ��JZI✓/ S hGGGSJo�/�^� U / %SDeGD"✓�N (lf J'j ra2�L✓I��C. CITY OF SALEM, MASSACHUSETTS 3 mal. BOARD OF HEALTH ,... / 120 WASHINGTON STREET, 4TH FLOOR CERT.# 258-03 o SALEM, MA 01970 FEE $25.00 TEL. 978-741-1800 DATE: 05/30/2003 FAX 978-745-0343 STANLEY J. USOVICZ, JR. .JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 31 Hazel Street UNIT #: 1 OWNER/AGENT: John K.R. Wilson ADDRESS: 31 Hazel Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-4812 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH / 96 L&Y JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR I CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'. PROPERTY LOCATED AT 3( 114T4(— _5 ;_. UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER )0j40lJ- Q.U3A.Sdn) MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS 3x 1 A-ZSj- 57 ADDRESS CITY vv— CITY RESIDENCE PHONE S7$- 7'0 100- BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7h AMC 971 c) 9-0c CD TOTAL NUMBER OF ROOMS: A ROOM USE: 1. W 2. f iD 3. 1 0 4: V,IU,. 5. GI 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 DEPARTME THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE L5 -!�o 'o3 INSPECTORS USE ONLY DATE OF TIAL INS CIO -30 -v 5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3--3c) —2 3 DATE FEE PAID:L5='3O _ o Se TYPE OF UNIT: DWELLING k OTHER DWELLINGCHECK# ?99CHECK DATE 5130-03 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 4 CERT.# 46-99 d 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 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 31 Hazel Street UNIT #: 2 OWNER/AGENT: John K. R. Wilson ADDRESS: 31 Hazel Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 741-4812 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 i V JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR v��ONU1T ' 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 -31 ,El>+ZS_ Sr;- UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE &OWER/L SER JaHiy 1, 2. 6t) ISO MANAGER/AGENT ox No P.O. Box ADDRESS 3r WAZEL 57 -, ADDRESS CITY "9po ,v. CITY nn RESIDENCE PHONE 74// -BUSINESS PHONE (24 HRS.) BUSINESS PHONE 2!// TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 16FU 2. �O 3. '90 4. 5.Z,y 6. 9v 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 -lG` DATE �Ay _�Q• INSPECTORS USE ONLY DATE OF INITIAL INSPECTION DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: _ff DATE FEE PAID:_ � T Moe TYPE OF UNIT: DWELLINGOTHER_ CHECK#�S'f CHECK DATE NOTES: /l CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts A a Board of Health 120 Washington Street, 4th Floor, Salem, Pti3)liCI��s81t�1t Prevent. Promote, Protee6 MA 01970 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-16-458 DATE ISSUED: 11/17/2016 Property Located at: 34 HAZEL STREET UNIT#1 Owner/Agent: Residential Rental Properties Address: 198 Loring Avenue City/Town: 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 U"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. Oa __ Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR LRAMD1NC0hALEM.00M LARRY RAMDIN,RS/REHS,CHO,CP-FS HEALTH AGENT Gt-(/2 �C� v 1�. P o�'�-✓ , C o Lam, 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 - T/C� Z C UNIT#__L IS THIS UNIT�MATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE O OWNER/LESSER E f S 1 n P �1,A P�-�LL P� MANAGER/AGENT a v � J �✓2 NO P.O.BOX ,! n I � ADDRESS�I�� L )fZ1 �� AA-_R ADDRESS CTI'Y,STATE,ZIP Seo-L2 O (C(,?U CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 7d/_? f —F BUSINESS PHONE G� TOTAL NUMBER OF ROOMS: ROOM USE: 1. vt- 2. kC_ 3. ✓L_ 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 T 18-FEE-Is-PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE r//� / / Inspectors use only Date on initial inspection:1.1,41///1�.�/--lo Date of reinspection: Date of issuance of certificate:.! �/ /QZ6 Date fee paid: �.1-/ &Q16 Type of unit: Dwelling Other Check#Check date: 11&Z7�2� Notes: C nfg ement lot D� City of Salem, Massachusetts n Board of Health IV 120 Washington Street, 4th Floor, Salem, Prevent.MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent i i CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.457 DATE ISSUED: 11/17/2016 it Property Located at: 34 HAZEL STREET UNIT#2 Owner/Agent: Residential Rental Properties Address: 198 Loring Avenue City/Town: 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. // Jeff y Larry Ramdin, MPH, REHS, CHO SANITARIAN HEALTH AGENT CITY OF SALEM, MASS.A.CHUSEITS BOARD OF HEALTH 120 WASHINGTON STREET,4T FLOOR TEL. (978) 741-1800 KIMBFRLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAMDINLdSALEM COM LARRY RAMD.[N,RS/REHS,CHO,CP-FS HEALTH AGENT Q� (` �/h �V.e. Hop J'. C U �. 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 a 7�,C S i ' UNIT# /� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER IK P S,vn�,J,X �o-LL ) � 4p l C MANAGER/AGENT I/�)"-e ADDRESS L-vz, ?e ADDRESS CITY, STATE,ZIP 30 L 5 e-,A- 0 L,9 -�O CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 3 E- BUSINESS BUSINESS PHONE / TOTAL NUMBER OF ROOMS: ROOM USE: 1. C ✓t—.- 2. !Z 3. f2.4. 5 6 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 FEEIC S PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: 1/ 1 /�� Date of reinspection: Date of issuance of certificate: Date fee paid:IJ/1 710 Type of unit:: Dwelling q Other— C�heck# Check date: Notes: br !nISSna 5r—re—g4 C "cement"n ctor �► City of Salem, Massachusetts e { i Board of Health 10 " 120 Washington Street, 4th Floor, Salem, PabliaHealth 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-17-69 DATE ISSUED: 3/9/2017 Property Located at: 36 HAZEL STREET UNIT#2 Owner/Agent: Margot Hinchey Address: 8.5 Summit Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(508) 932-1380 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 f - J CM OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL.(978)741-1800 KIMBERLF.Y DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN@SALEM.COM LAARY RAMDIN,RS/RRHS,CHO,CP-FS 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 3 S ) UNIT# IS THIS UNIT DISIGNAtft AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE y� lin OWNER/LESSER c-he AGER/AGENTO� NO P.O.BOX ADDRESS C3 Ia L�Yh Ya ADDRESS h SL,M n ( YI v CITY,STATE,ZIP S� I e` n C1TY,STATE,ZIP D )9 7 U RESIDENCE PHONE BUSINESS PHONE(24HRS) ,5 b g-13 — J3 8zs BUSINESS PHONE J��' 'f 3 TOTAL NUMBER OF ROOMS: 3 I 1 ROOM USE: 1• 2. 1S—Q— 3. k:T�l — 4. 5. 6. 7. 8. 9. 10. THERE IS A FIM($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS IPAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE�A A�—Y� IdtC DATE g 7 Inmos ectors use only Date on initial inspection: 4�b Date of reinspectio v Date of issuance of certificate: Date fee paid: 01�-- Type of unit: Dwelling Other Check# Check date: Notes: nfor t Inspector i i CITY OF SALEM MASSACHUSETTS BOARD OF HEALTH 4 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 .� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#237-05 DATE ISSUED: 4/13/05 Property Located at: 38 Hazel Street UNIT#2 Owner/Agent: Jeannette Baliotis Address: 38 Hazel Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �Y CITY OF.SALEM, MASSACHUSETTS _ BOARD OF HEALTH • • 120 WASH INGTdN'$TREET, 4TH FLOOR j t SALEM, MA 01970 TEL. 978J41-1800 o 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 k� F + --UNIT # . IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE WNE ESSER_. �k-MANAGER/AGENT No P.O. Box NO P.O. Box ADDRESS _ ADDRESS _, CITY RESIDENCE PHONEg25 /2- _aA" BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: h ROOM USE: 1. _( 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 SGNATURE4� Gni f A d L tI DATE Y:7 4 "L�J;' INSPECTORS USE ONLY DATE OF INITIAL INSPECTION :(( S _°_] -DATE OF REINSPECTION_________.__ DATE OF ISSUANCE OF CERTIFICATE: j -^_DATE FEE PAID'__ TYPE OF UNIT DWELLIN<OTHER _ CHECK t W30 CHECK DATE 474 - /2— NOTES: CODE ENFORCEMENT INSPECTOR 9/28198 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KTMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGR FEND AUM( (SAILMCQM DAVID GREENBAUM - ACTING Hf�1LTH AGI-,NT - CERTIFICATE OF FITNESS CERTIFICATE#565-09 DATE ISSUED: 10129/2009 Property Located at: 40 Hazel Street UNIT#2 Owner/Agent: James Collett Address: P.O. Box 2098 City/Town: Haverhill, MA Zip Code: 01830 24 Hour Phone: 978-373-3024 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 11" 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 ACTING HEALTH AGENT CGW ENFORCEMENT INSPECTOR L , • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4n"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DCRFLNBAUM@SALnM.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." FEE: $50.00 PROPERTY LOCATED AT /1h TIG'ILG/ / UNTT# IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASECIRCLEONE OWNER/LESSER Ud:yJi O �dr { MANAGER/AGENT Xz, NO P.O.BOX ADDRESS . 2�.` ' ADDRESS 5aaIP CITY, STATE,ZIP Z4de 1>G�� A" Ql� CITY, STATE,ZIP sa"P/ RESIDENCE PHONE ?7 `L,2 3 -CMZ BUSINESS PHONE(24HRS) BUSINESS PHONE :pg-lym TOTAL NUMBER OF ROOMS: n ROOM USE: 1. 2 Q2 3 I ka-- 4 L`9�� . Z 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLL FEE, AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FE S PAY THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE /O 7O Inspectors use only Date on initial inspecti • jqcl 0`I Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling I OtherL I Check# �Check date: j IF I.;L/6 9 Notes: Move. C(7 c7t)( l0 1�2 bet L"E� 6c( o-�?T15 � 1YJVl�z Aon Q fav= �CeFC� 11 SIVAk. Cod orcement Inspector eot+otT vQ� b` 'g n 9� Q. CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970' 02/20/2002 120 Washington Street JOANNE SCOTT, MPH, RS,CHO Tel: (978)741-1800 HEALTH AGENT Fax (978)745-0343 James Collett P.O. Box 276 Hamilton, MA 01936 PROPERTY LOCATED AT 40 Hazel Street UNIT # 3 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; 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. i R THE BOARD O HEALTH REPLY TO oanne Sco MPH,RS,CHO PABLO VALDEZ Health Agent - CODE ENFORCEMENT INSPECTOR I i