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HERBERT STREET CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH a 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 3/8/06 Daniel &Jacqueline Robinson 55 Turner Street Salem, MA 01970 PROPERTY LOCATED AT 4 Herbert 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 H Ith Reply to 4Joanne Scott MPH, RS, CHO Pablo Valdez 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: (978)741-1800 04/12/2001 Fax:(978)740-9705 John Martin 4 Herbert Street Salem, MA 01970 PROPERTY LOCATED AT 4 Herbert Street UNIT # 2 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m.- 4:00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. 4OR THE BO�ARD�TH REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT.# 288-99 FEE $25.00 ` DATE: 06/05/99 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: 4 Herbert Street UNIT #: 2 OWNER/AGENT: John Martin ADDRESS: 4 Herbert Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-1868 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 �SW �ONDIT p� h �IMIN6� 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 Tee(978)741-1800 Fav(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 q C��C A, UNIT#,2 IS THIS UNIT DESIGNATED AS RIGHT f LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER SC)6 c. (Y)Aj- M MANAGER/AGENT I 's^ .1FCti Crnvt No P.O. Box f ' C N ADDRESS ADDRESS, [� �,Jra2.�`- O /' -(�,, CITY c ft�%M M01 rte, )11g qO CITY JNA Mr+- O6rh RESIDENCE PHONE -���p "�1���/O/oC� BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: �/ n ROOM USE: JL 2.^ 3d'+ 4. 1�,,,(� F- 5.-6.-7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALT EPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. Q APPLICANTS SIGNATURQ _DATES INSEETORS USE ONLY DATE OF INITIAL INSPECTION 6,e/t9 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:C/rh? DATE FEE PAID: 99 TYPE OF UNIT: DWELLING _OTHER__�—`6HECK# ' eT H CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �. v��gONUlT CERT.# 73-99 FEE $25.00 DATE: 02/12/99 INK 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: 4 Herbert Street UNIT #: 4 OWNER/AGENT: John E. Martin ADDRESS: 4 Herbert Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 740-1868 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 MORE INFORMATION CALL 978-741-1800. FO'Rl gT'H�Eq BOARD /'AfO-(�F�-JH HEALTH r o JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 5° n "x3 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 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". n PROPERTY LOCATED AT y ��.C.�(� S1 . UNIT#y IS THIS UNIT DESIGNATED ASRIGHT LEFT FRONT BACK PLEASE CIRCLE ONE WNE C ESSER 7 c% `1. CS)AIU►h_MANAGER/AGENT O. Box �1 ' t No P.O. Box ADDRESS -7 N�( t ADDRESS CITY 5/ 4dn (ng. CITY 10 RESIDENCE PHONE��I� 4 BUSINESS PHONE (24 HRS.) BUSINESS PHONE -77S TOTAL NUMBER OF ROOMS: 7� ROOM USE: 1-- ,ffn 2. 3. 4. ( (CM. 5. x�6. 7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HE TH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR _DATE INS ECTORS USE ONLY DATE OF INITIAL INSPECTION '� `f DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: ,) 'fid-"ff� DATE FEE PAID: 2 - I/ I ' i?C TYPE OF UNIT: DWELL INC�OTHER__ CHECK# CHECK DATE h NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Prt>w6llCI�e81th MA 01970 Praront.17emoti.pfoteot. 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-17-76 DATE ISSUED: 3/16/2017 Property Located at: 5 HERBERT STREET UNIT#1 Owner/Agent: Michael McManus Address: 3 Hugh Hill Lane City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(978) 927-9309 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 HEALTH 120 WASHINGTON STREET,4"FLOOR TEL (978)741-1800 KIMBF.RLFY DRISCOLL FAX(978) 745-0343 MAYOR LRAMD1Nna SALEM.C()M LARRY RAMDIN,RS/RF.HS,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" r / FEE: $50.00 PROPERTY LOCATED AT Jp/'ru pr( UNIT# is THIs UNrf DISIGGNAATT®AS RIGHT LEEP FRONT OR BA_CZC PLEASE CIRCLE ONE OWNER/LESSERiAn�n�/) Z?�j,,,iter MANAGER/AGENT NO P.O.BOX / ADDRESS A . . "'l1 h a 4(5' ADDRESS CITY, STATE,ZIP SCY CITY,STATE,ZIP O C S 9z7-93a� RESIDENCE PHONE 9BUSINESS PHONE(24HRS) 979 .Ye-7— S P Z y BUSINESS PHONE TOTAL NUMBER DOFF ROOMS: 1. K� _ ROOMUSE: e 2. o, . 9AJPdom4. 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 FEE71SAYABL ATTHE TIME OF INSPECTION APPLICANT'S SIGNATURELC �i�c �idW, al DATE .3 7 0 Inspectors use only Date on initial inspection: 4 LQ b Date of reinspection: Date of issuance of certificate: e,,2)1 kU,. Date fee paid: Type of unit: Dwelling Other Check#_Check date: Notes: Code Enforce nt Inspector CITY Calf SAL,F;M, 1V[tiSS 1CHUS3 'I""1:S $(1ARD OF fir,,AI:I'H 120 WASHINGTON SrRF:1{T,40'FLOOR 'TF1,. (978) 741-1800 F.\x(978) 745-0343 KIMI3FRLEY DRISCOLL Itamdin a saLem.com L MAYOR ,A i(RY IU NIDIN,RS/RI J IS,C110,CP-7 5 I11+uVl:f'bi AGvN'i' CERTIFICATE;OF FITNESS CERTIFICATE#98-12 DATE ISSUE=D: 3/14/2012 Property Located at: 5 Herbert Street UNIT# 1 Owner/Agent: Michael McManos Address: 3 Hugh Hill Lane City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: 978-407-5824 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 o.cupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARR r. a HEALTH AGENT CC ENFORC�INSP CTORCTOR CITY OF SALEM, MASSACHUSETTS i} BOARD OF HFu,-nI 120 WASHINGTON STRFFT,4"'FLOOR TFL. (978) 741-1800 KIMBERLEY DRISCOLL FAx (978)745-0343 MAYOR :It vmojN@4v 1 m(o�I LARRY RAMDIN,RS/IWI N,,(A 101,Y:P-NS H AIXI I AG KNT 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 UNIT# IS THIS UNIT DISIGNATED AS RIGHT.LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 11Y11LeZ J///!/�` MANAGER/AGENT NO P.O.BOX' ADDRESS— liural f�( /r� ADDRESS' r. / CITY, STATE,ZIP o �✓l CITY,STATE,ZIP- zj _ D 7 d RESIDENCEPHONE °I7 �6�9 BUSINESS PHONE(24HRS 7 ` 5 25` BUSINESS PHONE_9� TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 2. 4 5. 6 7. $: 9. 10. THERE IS A FIFTY($50}DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE&/--// Inspectors use only Date on initial inspection: l Date of reinspection:_ Date of issuance of certificate: Date fee paid:--- Type aid:--Type of unit: Dwelling Other Check#_ 1 t0 Check dater Notes CG ( *1 I 46� �1^ � 0�- Code\UWcement Inspector J �DNDIT,t City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-121 DATE ISSUED: 4/8/2016 Property Located at: 5 HERBERT STREET UNIT#2 Owner/Agent: Michael McManus Address: 3 Hugh Hill Lane City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone:(978) 927-9309 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 0-�--A4� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HE.-ILTH 120 WASHINGTON STREET,4'H FLOOR pn�"P TEL. (978)741-1800 FAX(978)745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY RAMOIN,RS/RENS,CHO,CP-FS MAYOR HEAjTH 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 n PROPERTY LOCATED AT P� / ya/P//12 E �/t UNIT# Z IS T/HIS UNIT DISIGNATED AS RICHT LE FRONT OR BACK PLEASE CIRCLE ONE OWNER/LES SER 1///M} i r/rl Ce���.MANAGER/AGENT NO P.O. BOX / / / L-* ADDRESS-? hrL Z / (/ Ae ADDRESS CITY, STATE,ZIP /J,_ p / k p,- l i, 0)1 /s CTI'Y, STATE,ZIP RESIDENCE PHONE c17 2—q 2-q�6�-( BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF//ROOMS: �/� n ROOM USE: 1 e lCllryk 2 I,L14rA&3 1?4- 4.�clofroo4i 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/IIS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE :!j�16 7G/� ` Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate:0 MX41=6 Date fee paid:0 90-024 0.6/ Q 4 Type of unit: Dwelling��Other Check#_Check date: fl /P1E / Notes: C k e w eox v ' ��^ J oII I11d01v o o YeSPecfivelV Y C117cement Apector v6�caeolr CITY OF SALEM, MASSACHUSETTS �. BOARD OF HEALTH `� '� 120 WASHINGTON STREET, 4TH FLOOR 53 CERT.# 3-03 :3 � SALEM, MA 01970 '',�. m FEE $25.00 �MI� TEL.L. 97 8-74 1-1 800 FAX 978-745-0343 DATE: 01/10/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 5 Herbert Street UNIT #: 3 OWNER/AGENT: Mike McManus ADDRESS: 3 Hugh Hill Lane CITY/TOWN: Beverly, MA ZIP CODE: 01915 24 HOUR PHONE: 921-0132 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 aCITY OF SALEM, MASSACHUSETTS 63 BOARD OF HEALTH 3-120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT L� Pj UNIT# 3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE" OWNEWLESSERV r\, I�P (' MANAGER/AGENT No P.O. Box '' II f No P.O. Box ADDRESS 4 Uc pa k ADDRESS CITY 'P V`PV l I N\✓CiCITY RESIDENCE PHONE OF?i-ci2Z -CLTO�BUSINESS PHONE (24 HRS.) eL'116 -q 1 -OL 3Z BUSINESS PHONE laps-L(0'1 -5 ';2t( TOTAL NUMBER OF ROOMS:_ ROOM USE: 1._ i-C_2.._13. -v V,4. 5.____6._7. 8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE <^=6 J � `� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION f-0 -03 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:NO-0 3 DATE FEE PAID: Z -10 -03 TYPE OF UNIT: DWELLIN OTHER_ CHECK#CHECK DATE/O -oj NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 01 3 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Date: 06/16/98 Fax:(978)740-9705 Daniel Popp & Theresa Whitney 116 Willow Street S. Hamilton, MA 01982 PROPERTY LOCATED AT 6 Herbert Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. It is incumbent upon you as owner(s) to contact the City of Salem Health Department to apply for a CERTIFICATE OF FITNESS before any vacant dwelling unit is rented or occupied, or to notify us of your intent for this unit. Each dwelling unit must be inspected and certified by the Salem Health Department prior to allowing occupancy in accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, and in accordance with Chapter 11, Article XIII of the City of Salem Code of. Ordiances, Section 2-334, Certificate of Fitness. There is a twenty-five (25) dollar fee payable by check, or money order to the City of Salem Health Department. This fee is payable at the time of inspection. Inspection will not be performed without receipt of payment- Failure to comply with this procedure, will result in a fine of twenty (20) dollars per day for every day that the dwelling unit is occupied without approval of the Code Enforcement Division of the Salem Health Department. Contact this department within 24 hours of receipt of this notice. (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 1/AJoanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR CERT. .. _19- 9'7 ._ ` 1 O FEE DATE: 01116/9? qty\ItAB C7Y OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT - Tel:(508)741-1800- Fax:j508)740-9705. CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 6 Herbert Street UNIT ri . OWNER/AGENT: Daniel Popp & TheresaWhitney ADDRESS: 116 Willow Street CITY/TOWN: S. Hamilton, MA ZIP CODE: 01982 24 HOUR PHONE: 762-4000 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADD--,;ESS HA - BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 . 000: MASSACHUSETTS SPATE SANITARY CODE, CHAPTER IT, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE'ENFORCEMENT DIVISI.1N 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 SAi�._r.: BODE, 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 Ct)MPLIANCE WITH THE STATE LEAD TAW FOR OCCUPANTS UNDER 6 YEARS OF -AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO - HEALTH AGENT CODE EUF:: ^CEMENT Ibi RECTOR PENDING: Repair of wall and paper on ceiling. Is tj�. . 1p CITY OF SALEM 2OARD OF HEALTH Salem, Massachusetts 01970.3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1866 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, f.HAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY n. / PROPERTY LOCATED AT (n ale��i�i 3 t ��1�� i yn 0ygTjy UNIT I Ot.n R/r'ESSER71ft� Po pP �T I �'I �G'k i ,£ MAN.4GER,"AGENT T, ADBRESS11b W i Ilb4 ADDRESS CITY t1o: iR v✓//1��{laCM '! MA 0 1- t•UX CITY RESZBENCEPHONE( .5 0 �I,e 6 ' � � BUSINESS PHONE {24 HRS.) / BUSINESS rHUNE 7( 1 ' ypob -X 5'8 '7 a-� SSsS TOTAL NUMBER OF ROOMS:_ { ROOM USE: I , �j`V i y� _"R+ t 2._ n_tr ,,nK3. �p��,�,nn 4 . YjF�tacnM_ 5. !^ 'fir wt r G. 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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: / �z DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATF,:��(fj DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR a b 3 V CITY OF SALEM BOARD OF HEALTH Salem, Massachusdtts 01970-3928 JOANNE SCOTT,MPH,RS,CHO - NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fait:(508)740-9705 RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts Regulations 410.000 et. sea. ; State Sanitary Code Chapter- TI 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. L1 the event it is necessary that said inspection be done in my/our absence, 1/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. T' 1 .T/LESSEE ER/LESS v_1_�AO19a1, ADO RESS ADDRESS �� I-ffRQ FIP.i 5'T: SAS -A4 , *0A oi97Q u-1�/ua2 Llai r ADDRESS OF UNIT TO BE INSPECTED DAJE 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 2/15/05 James E. Lister 6 Herbert Street Salem, MA 01970 PROPERTY LOCATED AT 6 Herbert 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. For the Board of Health ,// � Reply to J nne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS c ; BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#003-06 DATE ISSUED: 1/4/06 Property Located at: 8 Herbert Street UNIT# 1 M Owner/Agent: Raymond Young Address: 87 Federal 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 i6ANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1 800 FAX 978-745-0343 _„nl�•" 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 8 Herbert St. , 1st Flr. UNIT#1M IS THIS UNIT DESIGNATED AS RIGHT LEFT FBONT BACK PLEASE CIRCLE ONE OWNER/LESSER Raymond Young -No Rich r ..-Thompson No P.O. Bax No P.O. Bax ADDRESS. 87 Federal St. —ADDRESS. _8j Cabo Sta CITY Salem, MA 01970 —CITY—Bev MA t71g.15_ RESIDENCE PHONE 978-745-1572 BUSINESS PHONE (24 HRS.) Camp BUSINESS PHONE_ Same TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1.LR(Rit 2. BR 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 1�2006_,_- N P TORS USE ONLY . ATE OF INITIAL INSPECTION `_J " pDATE OF REINSPECTION_____,___,___ DATE OF ISSUANCE OF CERTIFICATE-/ -�_.:o EDATE FEE PAID:_ TYPE OF UNIT: DWELLING Ij -OTHER ,__ CHECK #-_ d'_ Z_CHECK DATE L' NOTES:,__„ q\ CODE ENFORCEMENT INSPECTOR 9/28/98 L/ �otuurr IgA CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970- 02/11/2002 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street —4`" Floor HEALTH AGENT Tel # (978)-741-1800 Raymond Young Fax # (978)-745-0343 87 Federal Street Salem, MA 01970 PROPERTY LOCATED AT 8 Herbert Street UNIT # 1R Dear Sir/Madam: e - I 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 :i Fitness. I 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 incasesin which cross-metering has been proven to exist. R THARFI- REPLY TO i PFS/ oanne Scott, MPH,RS,CHO PABLO VALDEZ Health Agent - CODE ENFORCEMENT INSPECTOR i 1 ti Oowl CERT.# 210-99 s FEE $25.00 DATE: 04/30/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 8 Herbert Street UNIT #: 1R OWNER/AGENT: Raymond Young ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH / 96-46� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR � CONDIT,{� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tee(978)741-1800 Fav(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT-- df f orec UNIT# IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER &Aw —MANAGER/AGENT S P No P.O. BoxNo P.O. Box ADDRESS_,,3�i S, -ADDRESS Seip.-P CITY_ CITY C'Gn1 RESIDENCE PHONEBUSINESS PHONE (24 HRS.) S� BUSINESS PHONE TOTAL NUMBER OF ROOMS: -2 ROOM USE: 1:2 2 3. 4. 5. 6. 7. _ 8. THERE IS A TWENTY-FIVE25.00 ($ ) 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 8ns � _DATE INSPECTORS USELOfV Y DATE OF INITIAL INSPECTION �f -30 - f q DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_ /30 '111 DATE FEE PAID:_-30 -fl, TYPE OF UNIT DWELLING/ OTHER_ CHECK #��:5 7 CHECK DATE� Y NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS „ e 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#004-06 DATE ISSUED: 1/4/06 Property Located at: 8 Herbert Street UNIT#2 Owner/Agent: Ray Young Address: 87 Federal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 745-1572 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 9�0 4d�'' JORNNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION", PROPERTY LOCATED AT_ 8 Herbert -- UNIT# 2nd Flr. IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Raymond Young MANAGER/AGENT_Ri a .d _,Thompson No P.O. Box No P.O. Box ADDRESS 87 Federal St.^—ADDRESS 81 c'ahot..St. CITY Salem, MA 01970 CITY Beve1y, MA._M5 _ RESIDENCE PHONE_978-745-1572 BUSINESS PHONE (24 HRS.) Sig BUSINESS PHONE, Same TOTAL NUMBER OF ROOMS: 4 ROOM USE: 1. LR___ 2.RR___3,KTT___ ___4.Ba h--- 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 „ LL4INPE/--OR 1/5/2006 USE ONLY DATE OF INITIAL INSPECTION _�_`._ _t% _DATE OF REINSPECTION_________ DATE OF ISSUANCE OF CERTIFICATE r_3_�!7 _DATE FEE PAID TYPE OF UNIT: DWELLING/b--_0THER ..__. CHECK #..q,?-,;_. ..CHECK DATE CODE ENFORCEMENT INSPECTOR 9/28198 rte, ti CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR 9 SALEM, MA 01970 CERT.# 38-03 TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: 01/31/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 8 Herbert Street UNIT #: 3 OWNER/AGENT: Raymond Young ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1157 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 sBOARD OF HEALTH 7� JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OFSALEM,-MASSACHUSETTS 3. IL w - - BOARD OF HEALTH A 120WASHINGTONSTREET, 4TH FLOOR 3g ` SALEM, MA 01970 TEL 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT { k 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 6E h, UNIT# _3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER 'G m MANAGER/AGENT No P.O. Box S` No P.O. Box ADDRESS �?I vU/ / ADDRESS CITY CZ4,L CITY RESIDENCE PHONE - /✓S_�� BUSINESS PHONE (24 HRS.) BUSINESS PHONE t T TOTAL NUMBER OF ROOMS: ROOM USE: 1. 1� . - 2:1 3. " 4. 5.--6.-7. 8. f 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 j TIME-OF INSPECTION. APPLICANTS SIGNATUREDATE INSPECTORS U ONLY ' DATE OF INITIAL INSPECTION /- 3 1 0'5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /-31 -o5 DATE FEE PAID: /'-2 / -e) "7 ' TYPE OF UNIT aDWELCINGtOTHER_ CHECK#-_CHECK DATE jai r3 NOTES: . CODE ENFORCEMENT INSPECTOR 9/28/98 ' •d4' o CITY OF SALEM, MASSACHUSETTS .;' BOARD OF HEALTH x 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 , FAX 978-745-0343 STANLEY J. UISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT January 14, 2004 Raymond Young 87 Federal Street Salem, Ma. 01970 PROPERTY LOCATED 8A Herbert Street It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness,"each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. —7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector :co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH * 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 CERT.# 37-03 " TEL. 978-741-1800 FEE $25.00 �0 FAx 978-745-0343 DATE: 01/30/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 8A Herbert Street UNIT #: 1 OWNER/AGENT: Raymond Young ADDRESS: 87 Federal Street CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-1572 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 amo JOANNE SCOTT, MPH,RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ty. r, c. C1T1! -OF SALEM, MASSACHUSETTSjka„_, BOARD OF HEALTH 3 120 WASHINGTON.STREET.,4TH FLOOR' - �_✓� e SALEM, MA 01970 E ,per TEL. 978-741-1800 - a_:L+� STANLEY USOVICZ, JR. - JOANNE SCOTT, MPH, RS, CHO _ MAYOR HEALTH AGENT - APPLICATION.FOR CERTIFICATE OF FITNESS ,, = IN ACCORDANCE-WITH STATE SANITARYsCODE,:CHAPTER 11,105 CMR 4.10 000, k a 'MINIMUM STANDARDS-OF FITNESS FOR HUMAN HABITATION`" �.. �'i PROPERTY LOCATED AT_��/> Q/ �M ;S UNITt#p IS THIS UNIT DESIGNATED AS RIGHT.LEFTS FRONT BACKPLEASE'CIRCCE'ONE' OWNEWLESSER b MANAGER/AGENT 1 r No P:O:Boz r } - r a ' No P O"Box ,, i ADDRESS J =ADDRESS ~ CITY S , � CITY i m _RESIDENCE-PHONE': L�S��'�� BUSINESS;PHONE (24 BUSINESS PHONE ter• ° TOTAL NUMBER OOF'ROOMSf .2 ROOM USE: 1:1 :2a v�4 _ { _ THERE IS A TWENTY,-FIVE($25.00) DOLLAR;EEE, PAYABLE BY CHECK QR MONEY; x. r ORDER-TO-THE-CITY, OFSALEM-HEALTH-DEPARTMENTTHIS:FEE-is_P_AYA8LEAT_THE f TIME OF INSPECTION, - _ e r«y" 1 APPLICANTS SIGNATURE DATE INSPE(TI4RS USE ONLY -DATE OF INITIAL INSPECTION 0 —bDATE OF REINSPECTION- -- DATE OF ISSUANCE OF CERTIFICAI E: a D DATE FEE PAID: /-3 `9T_ TYPE OF UNIT: DWELLING OTHER_ CHECK,# S CHECK DATE h d —off NOTES: .: A 1�i •.4;� S f��4 A. k: ,a��'L a + CODE ENFORCEMENT INSPECTOR 9/28/98 t . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR cSALEM, 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#347-05 DATE ISSUED: 5/27/05 Property Located at: 8A Herbert Street UNIT#2 Owner/Agent: Raymond Young Address: 87 Federal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-1572 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 =� v r JOA NE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 4 CITY OF .SALEM, MASSACHUSETTS so BOARD OF HEALTH 120 WASHINGTON STREET, 4TH. FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX &'78-745-0343 STANLEY U501'iCZ, JR. JOANNE SCOLf, MPH, F'S, CHC' MAYOR HEALTH AGENT APPL-ICATION 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 8A Herbert Street UNTO 2nd Flr_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_ Raymond L. Young MANAGER/AGENTSame No P.O. Box No P.O. Box 87 ADDRESS_ _.Federal St.�.------__-..__—_-ADCRESS.-------_- ------ - CITY Salem --- CITYMA MA 01970 ---- - RESIDENCE PHONE 978-745_1572 BUSINESS PHONE (24 HRS.'---__Same BUSINESS PHONE Same TOTAL. NUMBER OF ROOMS 3 ROOM USE: 1 __LR______ 2. BR 3 RT_.. -- 5.......__...__6- THERE IS A TWENTY-FIVE (525.001 DOLLAR FEE:, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. f APPLICANTS SIGNATU ' A7E 5/24/05 NSP OH ' l S1 E CtiIY DATE OF LNITIF L INSPECT!C N-_, _"�_ DA`; E OF REINSPECTION _ .... i DATE OF ISSUANCE OF CERTEE ICATE__5- C L EE P',IS-_ - S- '} { TYPE OF UNI1 DWELLI OTHER _ CH'cCF „ l r} -CHECK DATE r NOTES: CsODE ENFORCEMENT IN'SPEC'T OR Ur2c-9ti CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH `� 33 120 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 5/26/05 Princeton Crossing 12 Heritage Drive Salem, MA 01970 PROPERTY LOCATED AT 8A Herbert Street Unit 2RR 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. ,or the Board of Heal Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector t • o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH :9 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 e TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#60-04 DATE ISSUED: 02/24/2004 Property Located at: 8A Herbert Street UNIT#3 Owner/Agent: Raymond Young Address: 87 Federal Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 508-662-3882 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 if 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 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH )� V VJOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ` CITY OF SALEM, MASSACHUSETTS �r ' 6 '� BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT Fs'fl gtr6>v C UNIT#_3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERRMANAGER/AGENT No P.O. Box No P.O. Box ADDRESS—A-7 S} ADDRESS CITY_, �� VVI k. CITY RESIDENCE PHONE 7Ys-VY 7s BUSINESS PHONE (24 HRS.) �2'?44< BU�S4NE55'PFTO TOTAL NUMBER OF ROOMS:_ ROOM USE: 1._ 2. 3. 5. 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATUR DATE i INSPECTORS USE ONLY DATE OF INITIAL INSPECTION Z -y 4 � 0)0 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:_ ;L TYPE OF UNIT: DWELLING YOTHER CHECK#4"Y 7 CHECK DATE } V0-v_V NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSAGE-USE1"FS ?+ BoARD of H&11:rii 126� ' S INGTON STRreT,411' Fwo lit KIMBERLF:Y DRTSCOLL T1-L. (978)741-1800 FAX (978) 745-0343 NL\YOR Iramdin(a).salem.com LlR1tY R NIDIN,RS/IWI1S,CI 10,(T-FS - 1-11ia3:1'I-i A(;a N'P CERTIFICATE OF FITNESS CERTIFICATE#520-11 DATE ISSUED: 12/15/2011 Property Located at: 10 Herbert Street UNIT# 1 Owner/Agent: Robin Lang Address: 3 Lee 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 r LARR RAMDIN HEALTH AGENT CODE ENFORqUENT INSPECTOR • CITY OF SAL FM, MASSAC.HUSEYFS 120 IV ASHINGTON STREET,4"'1'LO(H( 11,a.. (978)741-1800 KIIvIl3ERLL;Y llRISCOLL F,Ax(978) 745-0343 MAYOR ]raindin(a sale(n com Lm?RY ILA NIDIN, RS/Rha IS,CI 10,C11-18 1-11i;\lall AGItN'I' Facsimile Transmittal To: Fax # I 0 - ( Date : �a12D 61 Page(s): including this cover# Message: Board of Health News --- ---- ----- --For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON .14 TRANSMISSION VERIFICATION REPORT TIME 12/27/2011 00:35 NAME FAX 9787450343 TEL 9787411800 SER. # 000BON341991 DATEJIME 12/27 00: 34 FAX N0. /NAME 919787400019 DURATION 00:00:24 PAGE(S) 02 RESULT OK MODE STANDARD ECM Vr CITY OF SALEM, MASSACHUSEI'l"'; BOARD OF HE-\im-i 120 WASHINGTON STRLI3T,4''' 11,0()R TEL (978) 741-1800 ll KINTBE'lWN DRISCOLL FA\ (979)745-0343 N-L\�,oit I-Attm,RANI DIN,RS/1W..1 14,0 R),(T,[� I WAI,I I I A(;1;N I Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 jI PROPERTY LOCATED AT ZQ &,t-joorj UNIT# IS-THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR RAC PLEASE CIRCLE ONE OWNER/LESSER MAN*6ERfAGENT- MW A YN NO P.O. BOX YkQT- ADDRESS ADDRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE ?SSI - �SINESS PHONE(24HRS)--q -�- BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I ),P- 2. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEB,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 4W6�� DATE_,4 Inspectors use only Date on initial inspection: W15'f(I Date of rcinspcctionj4*L— Date of issuance of certificate: Date fee paid: Type of unit- Dwelling Other—Check#—j- -LLCheck date: Notes: 117 Q Code 6t6ro/went Inspector comk-d+ � ' ���otaolr CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT 09/27/2000 Tel:(978)741-1800 Fax:(978)740-9705 Koza Family Trust c/o Jane & Stanley Koza 10 Herbert Street Salem, MA 01970 PROPERTY LOCATED AT 10 Herbert Street UNIT # 6 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. F THE BOARD OF REPLY TO Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 01/14/2002 Donald H. Babcock 10 1/2 Herbert Street #32 Salem, MA 01970 PROPERTY LOCATED AT 10 1/2 Herbert Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit . Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7 :00 p.m. and Friday 8:00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants- entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. FOR THE BOARD 0 HEALTH REPLY TO qoanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR oz City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PublicHealth MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Mayor lramdin@salem.com Larry RameMPH, REHS,CHO Ma Ha y @ Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-15-299 DATE ISSUED: 9/18/2015 Property Located at: 10 1/2 HERBERT STREET UNIT#32 Owner/Agent: Donald & Elizabeth Babcock Address: 1056 Flint Road City/Town: Baraintree, VT Zip Code: 05060 24 Hour Phone:(802) 728-4542 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 SANIy RIAN • �a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRAMDIN([r)SALEM.COM LARRY RAMDIN,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" FEE: $50.00 PROPERTY LOCATED AT d/� UNIT# IS THISUNITDISI NADy�AS RIGHT LEFT FRONT ACK EASE CIRCLE ONE OWNER/LESSER dl/" d �U2A$�T� 1U/��0 MANAGER/AGENT NO P.O.BOX ADDRESS SS f � —ADDRESS— CITY, DDRESS �SO%/ CITY, STATE,ZIP I�(F���1� CITY, STATE,ZIP Ur 0 RESIDENCE PHONE 6u2-729 4.5-J2- BUSINESS PHONE(24HRS) ?JZ-- S'ZZ X2,;2 BUSINESS PHONE TOTAL NUMBER �IO-F,ROOMS 1:'' ROOM USE: 1. N'N� 2.Hd#)P 40A 3. '-6ft 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY ($50)DOLLAR FEE,PAYAB E Y CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE ALE A TIIAE OF INSPECTION APPLICANT'S SIGNATURE DATE �S S Inspectors use only Date on initial inspection: 05jLC12Lj-..5� Date of reinspection: Date of issuance of certificate: r Date fee paid: Type of unit: Dwelling Other Check#3 j _Check date: 09/1Sr12Q�5 I Notes: SMoLC b delerkor ;4 sememl he'e.4s 4 be- Lke� cL 4, Ln kynl� �n c kH om st/h,& na;re C rcement Vspector CITY OF SALEM, MASSACHUSETTS BOH 1F HEHLI FY a 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 Donald Babcock 10 1/2 Herbert Street #11 Salem, MA 01970 PROPERTY LOCATED AT 10 1/2 Herbert Street UNIT # 4 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. Pleasecontactthis department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8 :00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven ec exist. THE BOARD 0 HEALTH REPLY TO JR oatt, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR . oma a � a CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 02/14/2001 Donald Babcock 33 Manton Road Swampscott, MA 01907 PROPERTY LOCATED AT 10 1/2 Herbert Street UNIT # 5 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 $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD 9f HEALTH REPLY TO oanne Sco t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR condi �� CITY OF SALEM, MASSACHUSETTS .)' BOARD OF HEALTH r$ 120 WASHINGTON STREET, 4TH FLOOR ? / 4' SALEM, MA 01970 8 TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#263-08 DATE ISSUED: 6/3/2008 Property Located at: 10 1/2 Herbert Street UNIT# 11 Front Owner/Agent: Donald H. Babcock Address: 10 1/2 Herbert Street#32 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-3389 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 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 EALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT C kINIOCEMENT INSP• CTOR CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH V b • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS F HUMAN HA ;TION' . PROPERTY LOCATED AT 1O 2, F-16-f � lel UNIT#I I IS THIS UNIT DESIGNATED AS RIGHT�LEEFT RC BACK PLEASE CIRCLE ONE OWNER/LESSER /U}�iLb MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY2�Q CITY RESIDENCE PHONE 7](0 4411 JJ O ' BUSINESS PHONE (24 HRS.)0a BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1.IL 2. LK 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. t t O APPLICANTS SIGNATURE DATES INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 3,aP DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 6' ?G Y DATE FEE PAID: TYPE OF UNIT: DWELLING _* OTHER_ CHECK# S'>S' CHECK DATE E 'a NOTES: Al CODE ENFORCEMENT INSPECTOR 9/28/98 f • i CITY Off' SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1SC T n SALEM.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 Saler 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. A RA Bess Owner/Lessor Address Address tr�4'6;'r�t' g Address on unit to be inspected G Date i Y � CITY OF SALEM, MASSACHUSETTS • �t� BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGLIi NBAUMQa SAL13nI.CO,b[ DAVID GREF.NBAuM,RS ACTING HG.AL.I'H AGENT CERTIFICATE OF FITNESS CERTIFICATE#504-10 DATE ISSUED: 10/27/2010 Property Located at: 10 1/2 Herbert Street UNIT# 12 Owner/Agent: Donald Babcock Address: 1058 Flint Road City/Town: Braintree, VT Zip Code: 05060 24 Hour Phone: 802-522-6225 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 I DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORC NT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR TEL. (978)741-1800 KTMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGREENBAUMna SALEM.CONI 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." ,y/,., F 50.00 'ROPERTY LOCATED AT l�P 69f" 00 UNIT# 1 Z `�IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONTO A_ LEASE CIRCLE ONE )WNER/LESSER 1J0/1A(.� � MANAGER/AGENT '`O P.O. BOX .)DRESS NSS ADDRESS :TTY, STATE,ZIP CITY, STATE,ZIP ESIDENCE PHONE �dL SZz Z[c� BUSINESS PHONE(24HRS) USINESS PHONE OTAL NUMBER OF ROOMS:pp _ y OOM USE: 1. IT 2. LF, 3. n Q 4. 5. K 7. 8. 9. 10. 'HERE IS A FIFTY($50)DOLLAR FEE, PAYWBYTCK OR MONEY ORDER TO THE CITY OF SALEM OARD OF HEALTH THIS FEE I A ABLOF INSPECTION PPLICANT'S SIGNATURE PATE /d' Zalb Inspectors�use only I ate on initial inspection: Date of reinspection: ate of issuance of certificate: Date fee paid: boI MeF-of unit Dwelling=Z Other Check#-- rtes: Id nfor went Inspector i_ CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR UGRELNBAUM@SALEM.COM DAVID GREENBAum, ACTING HEALTH AGENT Release n accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; 'tate Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and enant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to, a nspect the residence identified:below in accordance with the aforementioned statutes, regulations and ordinances. n the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for ny/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its uthorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence luring said inspection. 'enant/Lessee Owner/Lessor ddress Address Address on unit to be inspected ate ( � CTTY OF SALEM, MASSACHUSETTS t BOARD OF HEILTH publicHeatfta 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 FAx(978) 745-0343 IUMBERLEY DRISCOLL liamdin@saleiii.com saleru.com LARRY RAMUIN,RS/RP'EF IS,Clio,CV-ISS MAYOR HE;V:CH A(;I WI' CERTIFICATE OF FITNESS CERTIFICATE#278-12 DATE ISSUED: 7/11/2012 Property Located at: 10 1/2 Herbert Street UNIT#21 Owner/Agent: Donald H. Babcock, Address: 1058 Flint Road City/Town: Braintree,VT Zip Code: 05060 24 Hour Phone: 802-522-6225 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 0 up ncy. FOR THE BOARD OF HEALTH LARR M IN HEALTH AGENT NIT IAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR TEL. (978) 741-1800 KINMERLEY DRISCOLL FAX(978) 745-0343 MAYOR UGREENBAUM@M FM.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 / 'ROPERTY LOCATED AT V D 2 Np,� � � 1� UNiT# 2,I IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE )WNERILESSER N�tb MCACAO MANAGER/AGENT � ttB BOX ADDRESS IOS� j-1NT) �j p Q ADDRESS TTY, STATE,ZIP —1 n g CITY, STATE,ZIP ESIDENCE PHONE �fOL S22 b 2-2 Es BUSINESS PHONE(24HRS) USINESS PHONE OTAL NUMBER OF ROOMS:_ OOM USE: 1. LQ 2. �)r 3. �P- 4 5 6. 7. 8. 9 10 HERE IS A FIFTY($50)DOLLAR FEE,PAY LE BY HECK OR MONEY ORDER TO THE CITY OF SALEM OARD OF HEALTH THIS FE����jP�Y�AB THE E OF INSPECTION PPLICANT'S SIGNATURE/ 7 CZ nn Inspectors use only ite on initial inspection:_ I 'C/ Date of reinspection: ite of issuance of certificate: Date fee paid: pe ofu�t:�welling – _--Other– Clieok da:e --_ _-._ 1_ )tes: Ade VemntInspector o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4."FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRrFNBAUNI@ AI.L'M.COM DAV IU GRfCI;:NRAUM,RS ACTING WAIXI I AGENT' CERTIFICATE OF FITNESS CERTIFICATE# 117-11 DATE ISSUED: 4/19/2011 Property Located at: 10 1/2 Herbert Street UNIT#22 Owner/Agent: Harbor Rental Realty/Michelle McCarthy Address: 111 Derby Street City(Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-852-0650 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM, MASSACHUSETTS / • BOARD OF HEALTH 11 r)-I� 120 WASHINGTON STREET,4`"FLOOR ` TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1:)GRrENBAUM@SA1,EM.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." 1 FEE: $50.00 PROPERTY LOCATED AT 10 r/�T �'T 5S Ot �— UNIT# 2 lIS THIS U�NIIT D/I'SIG1NlATED AS RIGHT LEFT FRONT OR BACK,PLEASE -CIRCLE ONE / OWNER/LESSER/d/rL/12'IP ./"lCl (JIf 1� MANAGER/AGENT�Qh/JJdI �'M�(AP -61j NO P.O. BOX ADDRESS_ ADDRESS �� CITY, STATE, ZIP CITY, STATE, ZIPQ J✓! A. 01^9-70 RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ✓ �t�1 ROOM USE: JI'Mo 2 r��dd J 3 ►e� 4 5 6. 7. 8. 9. 10. THERE IS A 17IFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF IJEALTH.THIS FEE ISP fL TIME OF INSPECTION APPLICANT'S SIGNATURE nsDATE `Cl�/f /A/lI nectors use only Date on initial inspection: / Date of reinspection: Date of issuance of certificate: // Date fee paid: /1 Type of unit: welling L�0t,{h�err -Check# S.3 k� Check date: r1 h Notes:_SSI Q., for IIIIL r l d r Code forcen.entInspector i CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH 120 WASHINGTON STREET,4''FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUM@SALBM.COM DAVID GRI ENBAUM ACTING HF.AI.II'I AGI-,N,i, CERTIFICATE OF FITNESS CERTIFICATE#273-10 DATE ISSUED: 6/10/2010 Property Located at: 10 1/2 Herbert Street UNIT# 31 Owner/Agent: Donald H. Babcock Address: 10 1/2 Herbert Street#11 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 741-3389 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 AUY , DAVID GREENBAUM ACTING HEALTH AGENT CO E NFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.(978)741-1800 KMIBERLEY DRISCOLL FAX(978)745-0343 MAYOR ix;RrcN11AVMaALEM.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." ] FE 50.00 ROPERTY LOCATED AT /+ 2�/ ` '� UNIT#j IS THIS UNIT SIGNATED AS RIGHT LEFTRF ONT OR BACK,PLEASE CIRCLE ONE ;)WNER/LESSER A )4L� MANAGERIA `O P.O. BOR �( � T DDRESS �" G i 7 T �� ADDRESS J '1 TTY, STATE,ZIP vvl- CITY, STATE,ZIP ESIDENCE PHONEO � I BUSINESS PHONE(24HRS) .USINESS PHONE OTAL NUMBER OF ROOMS: y OOM USE: 1. 2 *' 3 4. 5. 6. 7. 8. 9. 10. HERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM OARD OF HEALTH THIS FEB IS PAYABLE AT THE TIME OF INSPECTION PPLICANT'S SIGNATURE __ T1 ATR Inspectors use only ate on initial inspection: lollv reinspection: Date of reins _ nce of /0 ho ate of Iuniut I3we11in certificate: Ot Check f— ��a—Check paid: —t C l� hy- rtes: LEnfo Inspector ✓wl '• CITY OF SALEM, MASSACHUSETTS e BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR ISCOTr s LE'k 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. VanessaoSv nrtt���^As— ��ftp Tenant/Lessee O/ /Lessor cSC,12' , 6474- 61977_ /l/9 Address dress /19Q/ 0 Address on unit to be ' spected (Sz �Z �Zo � O Date V Ir " CITY OF SALEM, MASSACHUSETTS BOARD OF HrJv:n-I 120 WASHINGTON STREET,4"'FLOOR 14MBERLEY DRISCOLL TH"_L. (978) 741-1800 M 1YOR FAX (978) 745-0343 Iramdin@salem.com salem.com LARRY IL\MDIN,RS/RI:I IS,Cl 10,CP-15 HISiV:I'I I nGISNI' CERTIFICATE OF FITNESS CERTIFICATE#299-11 DATE ISSUED: 8/25/2011 Property Located at: 10 1/2 Herbert Street UNIT# 32 Owner/Agent: Donald Babcock Address: 1058 Flint Road City/Town: Braintree, VT Zip Code: 05060 24 Hour Phone: 802-522-6225 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 IP' 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 HEALTH AGENT CVE ENFORC NTINSPECTOR a r CITY OF SALEM, MASSACHUSEITS BOARD OF HEALTH 120 WASHINGTON STREET,4TP$FLOOR TSL..(978)741-1800 KIINIBERLEY DRISCOLL FAX(978)745-0343 MAYOR PGRrraranUM a(2sMZ COM DAVID GREHNBAMI, ACTING HEALTH AGENT 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." E. 50.00 ,ROPERTY LOCATED AT UNIT# TS THIS UNIT IGNATED AS RIGHT LEFT FRONT OR BAC PLEASE CIRCLE ONE )t�fNERn.iBtsR_` � Ck MANAGER!AGEItT O P.O. BOX ,DDRESS DS1, kIPT 4 ADDRESS 'ITY, STATE,ZIP t g ,� 61�0 ko CITY, STATE, ZIP ESIDENCE PHONE $a2. BUSINESS PHONE(24HRS) USUQESS PHONE Qpp J- -S7.1 - 6 23-9 I OTAL NUMBER OF ROOMS: }} OOM USE: 1. `A��10 2 NOfT 3. 4. 5. 6. 7. 8. 9. 10, HERE IS A FIFTY($50)DOLLAR FEE,PAYAB E BY CHECK OR MONEY ORDER TO THE CITY OF SALEM OARD OF HEALTH THIS FEE ABLE A TIM OF INSPECTION y� PPLICANT'S SIGNA —DAIS Z �t - �_ Inspectors use only — - ate on initial inspection: a,5 Date of reinspection: ite of issuance of certificate: Date fee paid: ,pe of unit: Dwelling Other Check# -Z( Check date: .g )tes: orcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 9 120 WASHINGTON STREET, 4TH FLOOR o SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Timothy J. Hallinan III 14 Herbert Street Salem, MA 01970 PROPERTY LOCATED AT 14 Herbert 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. EF ,the Board of Health Reply to anne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector y CITY OF SALEM, MASSACHUSETTS r BOARD or HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 NLkYOR ucareNisnu� snisnT.coat DAVID GiuivNBAU\I ACTING HI?ALni AGL'.NT CERTIFICATE OF FITNESS CERTIFICATE #288-09 DATE ISSUED: 6/26/2009 Property Located at: 14 Herbert Street UNIT#2 Owner/Agent: Cynthia Clark Address: 14 Herbert Street#2 City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-530-7459 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. FORT E BOAR HEALTH DAVID GREENB UM ACTING HEALTH AGENT CODE EN"ENT ENT INSPECTOR CITY OF SALEM, MASSACHUSETTS Y BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR 1)G1U FvHAUN4QSAIru.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." 1FEE: $50.00 M ✓1 PROPERTY LOCATED AT 1l Y "" �1 Si S0 I C W11 UNIT#_� IS THIS U"NIT DISIGNAATED AS RIGHT LE FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER C Y n i SUV11A C (AZ MANAGER/AGENT IIIA NO P.O. BOX ,/ i ' 1 - , ADDRESS j I iC > Z:L E4. Z ADDRESS CITY, STATE,ZIP_ J/ai'I�h!, Y"I pt CITY, STATE,ZIP / RESIDENCE PHONE lq 4l) 530— 7Lf Sl BUSINESS PHONE(24HRS)_i q; R) 530 - -71f5? BUSINESS PHONE 740 530— 7qS / TOTAL NUMBER OF ROOMS: p m ROOM USE: 1. Klh�'[a'1 2. LIP- 3. D¢ y4a- 4. U�+t"O " 5. 044�Cm"` 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 PYABLE AT TH E SPECTION APPLICANT'S SIGNATURE DATE rs 26 � " Inspectors use only Date on initial inspection: (0 Id, (Q/G Date of reinspection: Date of issuance of certificate: (j?h I7 0 Date fee paid: (.0 Type of unit: Dwelling they Check# (0 0 E Check date: 6D Id CP I() Notes: � 1,on I Pouu� Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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 May 8, 2003 Anthony Scivetti 19-21 Herbert Street#3 Salem, MA 01970 PROPERTY LOCATED AT 19-21 Herbert Street It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m.—7:00 p.m. and Friday 8:00 a.m. —4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00)dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s)records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants'entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. For the Board of Health Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 12/23/04 Anthony Scivetti 15 Adams Street Marblehead, MA 01945 PROPERTY LOCATED AT 21 Herbert 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 Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM9 MASSACHUSETTS m BOARD OF HEALTH 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 Anthony Scivetti 15 Adams Street Marblehead, MA 01945 PROPERTY LOCATED AT 21 Herbert 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. For the Board of Health Reply to Janne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS • • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 I4MBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRr=,ENBAUM@SAIIM COM DAVID GRF..ENBAUM ACTING HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#204-10 DATE ISSUED: 5/5/2010 Property Located at: 23 Herbert Street UNIT# 1 Owner/Agent: Philip Crawford Address: 53 Clark Road City/Town: Ipswich, MA Zip Code: 01938 24 Hour Phone: 978-764-6258 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 I AVIC✓/ BXtUM ACTING HEALTH AGENT CODE ENFORMMENT INSPECTOR K " CITY OF SALEM, MASSACHUSETTSf-��� + + BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DGRBLiNBAUM@SALEM.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 p(' PROPERTY LOCATED AT I }-�V by Ip�L -I L UNTI# IS THIS UNIT DISIGNATE AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSERJ�t C��f�t-c; \\) MANAGER/AGENT NO P.O. BOX ADDRESS_ k/ ADDRESS CITY, STATE,ZIP �A S. ICH CITY, STATE,ZIP RESIDENCE PHONEgjo?_, � S BUSINESS PHONE(24HRS) S BUSINESS PHONE r TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 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 ISL AT TIM F I1�SPECTION APPLICANT'S SIGNATURE Il DATE J Inspectors use only Date on initial inspection: Vs s �/ 0 Date of reinspection: Date of issuance of certificate: S�> �l b Date fee paid: Type of unit: Dwelling_�z6ther Check# 3q3 Check date: Notes: G.} [00(0 md- OCtS . mG rl' d rli CLOWA_ C�- ,- 1rhloq on bcR� SMVI- i� C e nforcement Inspector ;co CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 2, 120 WASHINGTON STREET, 4TH FLOOR a4 SALEM, MA 01970 s TEL. 978-741-1800 FAX 978-745-0343 KIMBERLEY DRISCOLL JSCOTT@SALEM.COM MAYOR JOANNE SCOTT HEALTH AGENT 6/11/08 Philip Crowford 23 Herbert Street Salem, MA 01970 PROPERTY LOCATED AT 23 Herbert 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. Fo the Board of HealtV + {_ Reply to JJ nn�PH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector g ca CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH <+. 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 07/18/2002 Philip Crawford 22 Herbert Street Salem, MA 01970 PROPERTY LOCATED AT 24 Herbert Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334, titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with the State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within One Week of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8 :00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8 :00 a.m. - 4 :00 p.m. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven eo exist. OR THE BOARD F HEALTH REPLY TO wX L�Z — Joanne Scott, MPH,RS,CHO PABLO VALDEZ HEALTH AGENT CODE ENFORCEMENT INSPECTOR } ,V ' ^ CERT.# 681-99 3 - FEE $25.00 y �P DATE: 11/15/99 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: 24 Herbert Street UNIT #: 1 OWNER/AGENT: Philip Crawford ADDRESS: 22 Herbert Street - CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-4467 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 O=ANNE MPH,RS,CHO HEALTH AGENT _ ODE ENFORCEMENT INSPECTOR wil- r n m� �s M ���MINg 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 D4 S-t-. fsiFI UNIT#_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Ni L1(' CAAi^-�0-0 MANAGER/AGENT S Lf No P.O. Box ,No P.O. Box 2,Z-ADDRESS �- � 8 � . _�ADDRESS CITY SIA-L—-✓1 CITY RESIDENCE PHONE_74{- �49C3 BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 44 ROOM USE: 1. L IZ 2. (3•V— 3. 11 4. _0 4'�f 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 SIGNATI_14M�LUAP_ DATE I . 1& INSPECTORS USE ONLY DATE OF INITIAL INSPECTION i/A",!�e DATE OF REINSPECTION iv1� DATE OF ISSUANCE OF CERTIFICATE: //�/ DATE FEE PAID: TYPE OF UNIT: DWELLING A OTHER_ CHECK# /3 99 CHECK DATE NOTES: D./c . - e✓ INFO MENT INSPECTOR 9/28/98