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HAZEL TERRACE HAZEL TERRACE 0 s I v $v CERT.# 171-97 FEE $25.00 3 g; �11IF4 DATE: 03/24/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 1-2 Hazel Terrace UNIT # : 1 OWNER/AGENT: Richard Carlson c/o Sean Gildea ADDRESS: 58 Harbor Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 446-9545 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 ( 1 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 j 4a-p JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR yak CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, .CHAPTER II, 105 CMR 410:000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 2 � U{�� YGP"1�• UNIT I \ I OWNER/LESSER 1 /�� S U MANAGER/AGENT 1t�_;�,j/�, r I ftLv� ADDRESS ADDRESS CITY CITY ��Ole�ti� AA-C., RESIDENCE PHONE / I"// BUSINESS PHONE (24 HRS.) q46 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1 . jI��L�. 2. USC 3. 4 . 5. THERE IS A TWENTY—FIVE (25. ) DOLLAR FEE, P ABLE BY CHECK OR MONEY ORDER TO TIE CITY OF SALEM HEALTH DEPAR NT THIS FEE AYABLE AT THE TIME OF IINSPEECTIgON APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: —q Z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTI"F/ICATE: `! fi 7 DATE FEE PAID: TYPE OF UNIT: DWELLING ,y OTHER NOTES: ' c— CODE ENFORCEMENT INSPECTOR Z 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928i' -- ` JOANNE SCOTT ". _ en. •. :A . i7[.' .. <' .i t - --_ HEALTH AGENT .i? '} ! ! 4' u` - �. ' Tel:(508)741-1800 Fax:(508)740-9705 RELEASE In accordance with Massachusetts Ge-neral. Laws Chapter 111 ; Code of Massachusetts Regulations 410.000 et seq. ; State Sanitary .Code.Chap.ter LI and. Article %ITI 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 frora,.any loss or. injury sustained of whatever nature and desc iptidn-occasionea by mv/our. absence during said inspecti.or. - - T_NAN' %LES E OWNER/ .FSSOR ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED DATE �Jp` e J l CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH . '� 9t 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#225-05 DATE ISSUED: 4/5/05 Property Located at: 1-2 Hazel Terrace UNIT#2 Owner/Agent: Sean Gildeau Address: 77 Harbor Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 631-6881 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 CITY OF SALEM,,MASSACHUSEI I 1 _ . .� ._ Y `rABOARD OF HEALTH 120 WASH I NGTON'STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1900 FAX o7 , MPH, 43 R5 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 , `Z I" ( UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Yee r'6_� ';Ovn MANAGER/AGENT S 6`- ' � No P.O.Box t No P.O. Box i ADDRESSIK�cv� t- ADD CITY / CITY RESIDENCE PHONE ,BUSINESS PHONE (24 HRS.)—_ BUSINESS PHONE " TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.-3,-4. 5. __6__7.__&_ THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEA H DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE_ N , CTORS USE ONLY PATE OF INITIAL SP fON _�' _DATE OF REINSPECTION_,____ DATE OF IS ANCE OF CERTIFICATE. 'V"':I x?Jr DATE FEE PAID TYPE OF UNIT: DWELLINT_OTHER _. CHECK #_ S CHECK DATE NOTES_. CODE- ENFORCEMENT INSPECTOR 9t2k3l93 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 132-03FEE $25.00 TEL. 978-741-1800 D FAx 978-745-0343 ATE: 03/26/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 1-2 Hazel Terrace UNIT #: 4 OWNER/AGENT: Sean Gildeau ADDRESS: P.O. Box 815 CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 779-4153 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 JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR Fax(Ctrl+P to print) https://ny-www.accessline.com/execthtmx...&TOTAL=3&mailUid=2274332&DEGREE=&PAGE=1 Mar 12 03 02:28p Joanne Scott Salem BOH 978 745 0343 p.2 / CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR r7 �•J SALEM, MA 01970 �l TEL. 978-741-1800 �l FAX 978-7450343 STANLCY USOVICZ,JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410.000 °MINIMUM STANDARDS OF FITNESS FOR/HUMAN HABITATION". PROPERTY LOCATED AT 1 --:Efke-,eI � UNIT#, IS THIS UNIT DESIGNATED ASIB.GHT _LEFT FR NT BACK PLEASE CIRCLE ON OWNER/LESSER —_-. MANAGERIAGENT . 40 M- u" No P.O.Box No P.0-Box ADDRESS „____ADDRESS/j� ��..._— CITY ...------CITY— ea& RESIDENCE PHONE—,. pp rr�� BUSINESS PHONE(24 HRS.) BUSINESS PHONE ? UJ( 00� TOTAL NUMBER OFIIROOMS: Vt ROOM USE: 1._V 6` r 6-0.-2. 0&"A 3. 5. THERE IS A TWENTY-FIVE($25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE _D �3 SPSE ONLY E OF INITIAL IN CTI -1'b � DATE OF REINSPECTION DATE 4 OF ISSU CE OF CERTIFICATE: 1 b -D_3 DATE FEE PAID:_.3 TYP IT: DWELLING�OTHER_,_ CHECK#R ,.CHECK DATE D3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 1 of 1 3/17/200311:00 AM Fax(Ctrl+P to print) http://ny-w .accessline.mm/exec/htn x?H...G&TOTAL=3&mailUid=2274332&DEGREE=&PAGE-2 Mar 12 03 02:28p Joanne Scott Salem HCH 978 745 0343 p.3 CITY OF SAMM, MASSACHUSETTS BOARD OF HQALTH • 17.0 WA.CHINGTON STREET. 4TH FLOOR SALEM, MA 01970 TEL, 978-741-1800 Fax 97R.745.0RdA STANLEY USOVICZ,JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III; Code of Massachusetts Re.gulacions 410.000 et. seq.; state sanitary Code Chapter TT and Article XITT of tiie City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit or residential property, hereby authorize the Salem Board of Health or its sGthor- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. In thr event it is necesaary Lhat 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 Sa Lem, Salem Board of Health and its authorized ar^e--tL from any loss or injury sustsined of whatever nature and description occaslolted by my/our absence during said inspection.. '1'8 'f LESSEF, 61 OWNE- 1 I -ZC/w Zel ADDRESS J'---- ADDRESS ADDRESS OF NC1' TO BE 1NS1'F,'CT<;0 S�,sF 1 of 1 3/17/2003 11:20 AM CITY OF SALEM, MASSACHUSETTS �L BOARD OF HEALTH A 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE# 155-05 DATE ISSUED: 3/3/05 Property Located at: 1-2 Hazel Terrace UNIT#5 Owner/Agent: Richard Carlson Address: 60 Harbor Avenue City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: 446-9545 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;TIHE BOARD OF HE LTH �4 JOANNE SCOTT, MPH, RS, CHO 1'' HEALTH AGENT CODE ENFORCEMENT INSPECTOR Pax page Page 2 of 2 Y s ` Jan 25 05 10:31a Joanne Scott Salem BOH 978 745 0343 P.2 CRY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 120 WASH'NOTON STREET. ATH FLOOR SALEM. MA 01970 TEL, 976-741-1000 Q� FAx 978.745-0343 STANL6r USOVK.%. .1° JOANNE SCOTT. MPH, 145. CHO MAVOH HEALT. kGE11 APPLICATION FOR CERTIFICA 1 E Ur FITNESS IN ACCORDANCE WITH STATE SANITARY CODE.CHAPTER 11. 105 CMR,110.000 -MINIMUM STANDARDS OF FITPIE55 FOR HUMAN HABITATION'. PROPERTY LOCATED AT _1 _Z I1 �� .. UNIT 4�5_ IS THIS UNIT DESIGNATED AS RIGHT LLfT FRONT BACK PLEASE CIRCLE ONE 1 OWNER/LESSER f1Cf,a(6 GVJ800 MANAGER'AGENT No P.O. Box No P.O. Box n 1 � ADORESS f !' /If _ ADDRESS--+,7( I�c�✓ Cm .trill Mct, -- c'�v _ J�(IJ�e A Ak(A, _ iS- RESIDENGE FI BUSINESSPi{ONEW6� ICTAL NUM-32P OF ROOMS Pjwro uSE 1 - z ./Y?�C�l s �✓✓ - a - THERE IS A TWENTY-FIVE IS25.00)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THUS FEE IS PAYABLE AT THE TIME OF INSPEC TIGH. APPLICANTS SICr.'AT!IRE DATE I"d�P-LcTT`op.,. Q 9 "E 4-1JIT1 .: . :� '111 �/�!•✓ //�/j }/ :`.TE -,c'F:�'JL..' [+r; �/ `/��_ -_HTIF/:, c.T= /'(a" _AJC F c P;..i' :iiUc Eid=liF%Eid=1JT I�J'.:I c;;YQr - - https://chi-www.accessline.com/exec/teleweb?uifwa=convertJpeg&=koAlxmApmxalump 1/25/2005 Pax page rage z.o1 z ~ Jan 25 05 10:32a Joanne Scott Salem BOH 978 745 0343 p.4 i CITY OF SALEM, MASSACHUSETTS BOARD Of HEALTH 120 WASHINGTON STREET.ATM FLOOR SALEM. MA 01970 _ TEL. 97 B-741-1800 FAX 978745-0343 - STANLEY VSO.iCZ. JR, JOANNE SCOTT, MPH. R5. CPO MaTOR It FAi TR AGENT ae1.EAst: to aceerdonce 1i06 Ma5saChu3ett5 Gene Tal Lrwc ChaPLer tip ; Cod: of tlo.Gothusece.+ Cagolotiocs 514.000 rc. Seq. ; Sf.ate Sanitary Code C6nptet 1 [ Aad Article XIII 01 r;ie I'ic}• cf Salam Ordinance, undersigned owner/lessor aae, Tenant/lessee c1 a unit C' tesidcuLi.,l Ptupcttp, Lcleby aULILOLZtC Che .`.alem Eocrd of Health or dt: c%:rhor apcnts to inspect the residence identified below ;.n accordanCe '-ith tl•.e a:oremen Lioned statutes, regolarinn> and ordinances. t4..y •_, V -.r ;t ., no,'ccr.,•'v Lhat said in �.spcirinn S., d-n t}'^ Cho seine and IOr v,,/Uut SuccCu»r] aUd as5ir s hen-n'; ;u� 4i^,cha rS' chc i.icy n�` tale?, Sa:em G.�i:c of FcalCi, ,... L :. a•.:[t.c r:= .- _ S Cdl new C, ..e_LC'+c: :la t CrC nn' cc>I'•-LPt-^:: :.. •. . isr!n:;� abse r.Cr ;i.;c i:'r s::;a iasner.t ir::. https://chi-www.accessline.com/exec/teleweb?uifwa=convertJpeg&=koAlxmApmxalump 1/25/2005 CERT.# 62-00 �� fF 9i FEE 25.00 0 /• DATE: 02/01/2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 1-2 Hazel Terrace UNIT #: 6 OWNER/AGENT: Sean Gildeau ADDRESS: 58 Harbor Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-6881 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH,. I V ANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR : s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I-Z A'f UNIT# C- IS IS THIS UNIT DESIGNATED ASIR GHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER /`I Av1-L C*w4 f-- MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY ✓Ku✓-bl?P%uc . CITY RESIDENCE PHONE 6A 1 BUSINESS PHONE (24 HRS.) q�-`� 76914 G&-i BUSINESS PHONE cr �. _ %1%0c_> TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2.-3.-4. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE,YAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HjALTH DE PA . MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. //f APPLICANTS SIGNATURE DATE /Z 4 -7 1 11SPECTORLSE ONLY DATE OF INITIAL INSPECTION / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:a- - DATE FEE PAID: — � ( TYPE OF UNIT: DWELLINC�OTHER_ CHECK#CHECK DATE/',� NOTES:_ kur2csnoil� ,,.c.n. wm+l A.ead _ A. e•uK CODE ENFORCEMENT INSPECTOR �I �ih 9/28/98 K B CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741.1BOO Fax:(508)740-9705 j ' RELEASE z i In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of ttie City of Salem Ordinance., undersigned owner/lessor and tenant/lessee of a unit of residential property, herebyauthorize 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. 1 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-;wbatever• nature and description .occasioned .> by my/our absence during said inspection. T__ LESSEE OWNER/LESSOR ;: '� I -Z ��el T-�,��_-- ��2 I-�,�,,� Tie✓✓ ADDRESS ADDRESS �C ADDRESS OF UNIT TO BE INSPECTED i DATE - i i k CERT.# 63-00 3 GG 9 FEE $25.00 1��• �'p DATE: 02/01//01/ 2000 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740.9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 1-2 Hazel Terrace UNIT #.: 7 OWNER/AGENT: Sean Gildeau - - ADDRESS: 58 Harbor Avenue CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-6881 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 t 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 (8) 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 m •a n y � ��/MIPB 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 f"Z l�u�ef T�cr1r UNIT#-7- IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER SMY^ MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS _ ADDRESS CITY CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) Gtj(:d j BUSINESS PHONE (a 3N kfrC)0 TOTAL NUMBER OF ROOMS: L"k ROOM USE: 1. 2.-3.-4. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PA BILE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM H LTH DEPARTf)AENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. / APPLICANTS SIGNATURE DATE NSPCOS IdSE ONLY DATE OF INITIAL INSPECTION/-9` ` S C DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: . ( — dy DATE FEE PAID: TYPE OF UNIT: DWELLIN* OTHER_ CHECK#_CHECK DATE /',Z NOTES: �� CODE ENFORCEMENT INSPECTOR 9/28/98 w.+{ t"'iwzy3. is r i 6 _ yaP 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 i In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts "i 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, herebyauthorize the Salem Board of Health or its author— ized agents to inspect the residence identified below in accordance with the 3 aforementioned statutes, regulations and ordinances. In the event it is necessary that said inspection be done in p 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, , F by my/our absence during said inspection. TETUNT/LESSEV 011NER/i ESSOR rr i ADDRESS ADDRESS ADDRESS OF UNIT TO BE INSPECTED i DATE ilI l I I I� .� . - � ��- 0� 1 �-l � ��, �. . .� LL h �5 r CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 11/29/99 Fax:(978)740-9705 Richard Carlson 207 Washington Street Salem, MA 01970 PROPERTY LOCATED AT 1-2 Hazel Terrace UNIT # 7 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 O HEAL I-I REPLY TO nn MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CERT.# 595-97 3` 5t FEE $25.00 DATE: 09/02/97 /,yMg 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: 1-2 Hazel Terrace UNIT # : 8 OWNER/AGENT: Sean Gildeau ADDRESS: 58 Harbor Avenue CITY/TOWN: Marblehead. MA ZIP CODE: 01945 24 HOUR PHONE: 741-0500 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 DD OF HEALTH 14&4ey JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR l a a 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 4 10.000 "MINIMUM STANDARDS OF FITNESS FOR JHUMAN HABITATION". /j PROPERTY LOCATED AT" j Z � Cf ( ) �} UNIT # OWNER/LESSER MANAGER/AGENT ADDRESS ADDRESS CITY CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) I U lJ Bt1SINESS,PH414E t�-t'cj �' — TOTAL NUMBER OF ROOMS: ROOM USE: 1._2.-3._4 . 5. . . 6. 7. 8. THERE IS A TWENTY—FIVE (25.00) LIAR FE AYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEH HEALTH DEPARTME THIS PAYABLE AT THE TIME OF INSPECTION oSPECTION APPLICANTS SIGNATURE �--- DATE_ j JZ— INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: �_� DATE OF REINSPECTION---- DATE NSPECTION --_DATE OF ISSUANCE OF CERTIFICATE: -E--^� iL� DATE FEE PAID: _�._ TYPE OF UNIT: DWELLING OTHER_�� NOTES: CODE ENFORCEMENT INSPECTOR f 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 Ill ; 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— G 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. TENANT/L� OWN R/TES OR -- ADD&ESS --- — - -- - ADDRES -- — ADDRESS OF UNIT TO BE INSPECTED DACE -- I� ` i v��CONDIT� C � s9 hINB @C/ CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978) 741-1800 08/21/2000 Fax.(978)740-9705 Hazel Terrace Realty Trust c/o Richard Carlson 207 Washington Street Salem, MA 01970 PROPERTY LOCATED AT 2 Hazel Terrace UNIT # 9 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 meters) 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. JR THE BOARD 0 HEALTH REPLY TO an, M HO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR ' o CITY OF SALEM, MASSACHUSETTS �V '� BOARD OF HEALTH • +r 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 294-02 TEL. 978-741-1800 FEE $25.00 24�,,n� DATE: 05j30J2002 FAx 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 Hazel Street UNIT #: 1 Right OWNER/AGENT: Steven Lappin ADDRESS: 34 Auburndale Road CITY/TOWN: Marblehead, MA ZIP CODE: 01945 24 HOUR PHONE: 631-0243 AN INSPECTION OF YOUR VACANT DWELLINGJROOMING 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 cll/ JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR o r CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH • u i 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 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 JO Hn C- 1 btrUl t UNIT#_,' IS THIS UNIT DESIGNATED A RIG LEFT FRONTBACK PLEASE CIRCLE ONE OWNS ESSER , tye_0sQ�1PiO MANAGERIAGENT Box No P.O. Box ADDRESS ?S+ A ,� c��d ADDRESS CITY M •r o` _,�n CtTY M A RESIDENCE PHONE"7R 8':S`-02-x BUSINESS PHONE (24 HRS.) BUSINESSPHONE (, TOTAL NUMBER OF ROOMS:_,_._._. ROOM USE: 1. Re-a 2. bed 3.�'V(J�4. Bctilj THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPAR MENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. i APPLICANTS SIGNATURE DATE�}S�'L S ECO 0 DATE OF INITIAL INSPECTION 3G7 -UZ A E OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 3o -0 L- ,, DATE FEE PAID: 5_- ?50- d z TYPE OF UNIT: DWELLING_.,....OTHER_ CHECK# / 719 CHECK DATE 5- NOTES: OE ENF � CODE ENFOR EMENT I SPECTOR 0/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH �i. 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 05/06/2002 Steven & Kerrianne Lappin 34 Auburndale Road Marblehead, MA 01945 PROPERTY LOCATED AT 30 1/2 Hazel Street UNIT # 2nd floor 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. R THE BOARD OX HEALTH REPLY TO ?.ate 'X1`cc_,1XMt1 ,R1,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR w aCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOORCERT.# 293-02 SALEM, MA o197o FEE $25.00 TEL. 978-741-1800 FAX 978-745-0343 DATE: 05/30/2002 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, R5, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 30 1/2 Hazel Street UNIT #: 2nd floor left OWNER/AGENT: Steven Lappin ADDRESS: 34 Auburndale Road CITY/TOWN: 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, 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. F THE BOARD OF HEALTH (/a L65'.." JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 qq% TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 3U,/?_ HGZPl St-&-2t UNIT# IS THIS UNIT DESIGNATED AS RIGHT 0 FRONT BACK PLEASE CIRCLE ONE OWNE ESSER Meyer) Lcmpin MANAGER/AGENT o Box I I No P.O. Box ADDRESS 34- A.�bLImActle 13&1. ADDRESS v� CITY 1 uc-lblOneXACl CITY MA RESIDENCE PHONE�7R 14N-OZ-4-3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE 617 --534-1-Fg46 TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. T-_Li&-d _2. 3. T�)C}1n 5. DRX) 6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE DATE Oho INSPECTOR USE LY V if DATE OF INITIAL INSPECTION 5� 3 o OZ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:S--3o-0'- DATE FEE PAID: JO TYPE OF UNIT: DWELLIN��THER_ CHECK# / / g CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 08/05/2002 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. OR THE BOARD HEA TH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR