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HIGH STREET
" City of Salem, Massachusetts � Board of Health '�� MA 01970 120 Washington Street, 4th Floor, Salem, Pre.ent.Promote. Proteet. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-13 DATE ISSUED: 1/19/2017 Property Located at: 9 HIGH STREET UNIT#3 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 777-3298 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. q , 14 1 11 P Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN i r CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4°i FLOOR PubhCHealth STREET, Prevent.Promote,Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL hamdin(n salem.com MAYOR LARRY 10MDIN,RS/RrHs,CIIO,CP-IS HEALTI-I AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT �r UNIT# 3 IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER Jrd�)In MANAGER/AGENT NO P.O. BOX ADDRESS-3 o S P R t G> C(P s f ADDRESS CITY, STATE, ZIP O 1 Q Z 2> A y fe 'e S uPR CITY, STATE, ZIP RESIDENCE PHONE 4 -2 Lq - 7-7 7- 3 Z 9 g BUSINESS PHONE(24HRS) BUSINESS PHONE 9 78 S Z � - 3 Z 9 0 TOTAL NUMBER OF ROOMS: ROOM USE: 1. ✓ 2. 3 e( 3. d e d 4. r 'C 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATTHETIME OF INSPECTION APPLICANT'S SIGNATURE 30 AV) M�2Ce- DATE 19- 1 -7 Inspectors use only Date on initial inspection: I [Cl Date of reinspect on: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: q Notes: Code Enf cement Inspector e J,. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTF{ 120 WASHINGTON STREET,4-FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAX(978)745-0343 MAYOR UGRFENRAU,A@SALf:MC MM DAVID GREF,NBAUM ACTING HFALTE AGENT CERTIFICATE OF FITNESS CERTIFICATE#201-10 DATE ISSUED: 5/10/2010 Property Located at: 8 High Street UNIT# 1 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-3298 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 Il" 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 DA ID GREENBAUM ACTING HEALTH AGENT CODNFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGIW.ENBAUM@SAI,I?M.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT o�S' d 1 i 9Pn S"r _ UNIT# / IS THIS UNIT DISIGIVATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LESSER_ SO h C v4 p6 C MANAGER/AGENT NO P.O.BOX ADDRESS -� o S P Rl k G S , ADDRESS CITY, STATE, CITY, STATE,ZIP l u r n r Q 1i 3 RESIDENCE PHONE-_9 7e __77 7- 3 2 -q b BUSINESS PHONE(24HRS) BUSINESS PHONE 97 S S3 Z d— 32 9 S TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 4-1 V 2. K + 3. 6 01 4 l3 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �p II Inspectors use only Date on initial inspection: Is— (� �I L Date of reinspection: Date of issuance of certificate: Date fee paid: `J f Type of unit: Dwelling Other Check#Check date: U Notes: c. Code Pzforcenient Inspector � � Ll CITY OF SALEM, MASSACHUSETTS BOARD OF HF\LTH 120 WASHINGTON STREET,4°1 FLOOR PublicHeAlth TEL. (978) 741-1800 FAs(978) 745-0343 IiIMBERLEY DRISCOLL liaindin@saleti-i.com MAYOR LARRY It\bfUlN,RS/REHS,(1110,CP-1^S I-IFi'ALTI I AG EN"I' CERTIFICATE OF FITNESS CERTIFICATE#234-12 DATE ISSUED: 6/20/2012 Property Located at: 8 High Street UNIT#2 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-3298 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 RAMDIN HEALTH AGENT ARIAN • CITY OF SALEM, MASSACHUSETTS Jll/ BOARD OF HEALTH 120 WASHINGTON STREET,4`"FLOOR TEL. (978)741-1800 li KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR jQ1QNNr,&mEm.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." FEE: $50.00 PROPERTY LOCATED AT fT N, 51 UNIT# IS THIS UNIT D GNATED ASIII GHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNERILESSER �0" CA,�gC x- MANAGER/AGENT NO P.O. BOX ADDRESS 3 0 .SP ADDRESS CITY,STATE,ZIP i'yA h if e Z S king 0 ! 4 Z 'a CITY, STATE,ZIP RESIDENCE PHONE_12h---7-_7 7 3 2 9 9 BUSINESS PHONE(24HRS) BUSINESS PHONE e Qk TOTAL NUMBER OF ROOMS:_,„_,_ ROOM USE: 1. i(• 2. i3 e 3. Bei 4. L rV� 5. 6. 7. 8. 9. 10. r 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___��� , ? [:Q_ DATE r —Zca—1? Inspectors use only Date on initial inspection: lL/ ( il Date of reinspection: I Date of issuance of certificate: Date fee paid: Type of unit: Dwellin Other Check# Check date: 4*1 Notes: (y) If 9L - Code Enfor ent Inhpedor r. JOSCiTY OF SALEM, MASSACHUSETTS IV BOARD OF Hp-v.TH - 120 WASHINGTON STREET,4."FLOOR PublicHealth TFL. (978) 741-1800 FAx(978) 745-0343 IiIMBERLEY DRISCOLL Iramdinnsalem.com LARIiI'7LVIvIl)1N,RS/RL?I IS,CHO,CP-1^S MAYOR HEAL:o I A(;ENP CERTIFICATE OF FITNESS CERTIFICATE#233-12 DATE ISSUED:6/20/2012 Property Located at: 8 High Street UNIT#3 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923.24 Hour Phone: 777-3298 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 LAR AMDIN HEALTH AGENT NI ARIAN CITY OF SALEM, MASSACHUSETTS � ✓�� BOARD OF HEALTH 120 WASHINGTON STREET,e FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1DIQNNF,@S&EM.COM JANET DIONNE, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." rr FEE: $50.00 U PROPERTY LOCATED AT �, 4 S`f UNIT# 3 is THIS UNrr DISI ATED ASIR GTT LEFT'FRONT OR PA CID PLEASE CIRCLE ONE OWNEWLESSER Z QVC h CO e e.Q- MANAGER/AGENT NO P.O. BOX ADDRESS o S ` ADDRESS CITY, STATE,ZIP D iA 1111�i'mq O/ q 2 3 CITY, STATE,ZIP RESIDENCEPHONE 7 ^ 7 7 7-32 q 0 BUSINESS PHONE(24HRS) BUSINESS PHONE 7 - 1J S -3 q TOTAL NUMBER OF ROOMS: 3 ROOM USE: I. L t Ir 2. 13 e 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE lLi �� Ge DATE �'a Inspectors use onlX Date on initial inspection: � Date of reinspection: Date of issuance of certificate: Date fee paid: �� r Type of unit: Dwelling Other heck# heck date: Notes: Code 4emntpector OONDIq,A City of Salem, Massachusetts Board of Health ' m 120 Washington Street, 4th Floor, Salem, Plub]icHealth MA 01970 Prevent. Promote. Protect, Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-496 DATE ISSUED: 12/20/2016 Property Located at: 9 HIGH STREET UNIT#1 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 777-3298 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. r y Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITAR t• • CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STREET,4n'FLOOR Prevent,UaProBRYIi"i TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com MAYOR LARRY JLWDIN,RS/REHS,CHO,CP-FS HEALTHAGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT T UNIT# F e IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CHICLE ONE OWNER/LESSER_ ),p k I7 Cd PC- C 4 MANAGER/AGENT ADDRESS —30 S�� �`t� G S7 ADDRESS CITY, STATE, ZIP ITY, STATE, ZIP RESIDENCE PHONE-9 76 7-7 7- 3 21 g BUSINESS PHONE(24HRS) BUSINESS PHONE 9 7 X28 �3Z 8 TOTAL NUMBER OF ROOMS: ROOM USE: 1. i32r. 2. rafth 3. < , V 4. K ;+ 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATTHE TIME OF INSPECTION T' APPLICANS SIGNATURE ��I{ �C� DATE ,t Inspectors use only 1 Date on initial inspection: -2-11 q/2421,6 Date of reinspection: Date of issuance of certificate: Date fee paid: j2 JQ&0.L6 Type of unit: Dwelling Other Check#-7 Check date: 12/Z912�26 Notes:_ STO�/e- is mirm�AA �-LS falIt,, C o ement Ins for 1. J � • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR P11bHCHC81th PrtvsN.Promote.Protea. TEL. (978) 741-18^00 Fax(978) 745-0343 KIMBERLEY DRISCOLL Iramdin@salem.com LARRY RRY 1L\Mll[N,IiSIRE:HS,CMO,CP-FS H13ALTH Ac:ENT Release In accordance with Massachusetts General Laws Chapter 111; Code of Massachusetts Regulations 410.000 et. Seq. ; State Sanitary Code Chapter II and Article XIII of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and ordinances. In the event it is necessary that said inspection be done in my/out absence. 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. CB �eC�— Tenant/Lessee Owner/Lessor 30 S Address Address Address o unit to be inspected Date Updated 5/23/11 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 CERTIFICATE OF FITNESS CERTIFICATE#477-05 DATE ISSUED: 8/3/05 Property Located at: 9 High Street UNIT#2 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-3298 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 OFF HEALTHr� JONE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3v .. CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800(p FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT it 1 Cf 14 5-r UNIT#� IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER—,50 1 h C )LPN C C MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS ADDRESS CITY A h V'.PlLA ►'K9 O l 4 Z 3 CITY RESIDENCE PHONE 97b- 777-3_�LAUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. 8-4 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 SIGNATURE tii -,—ce__ DATE 8- ) - S INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �-/ '� I� DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTIFICATED - DATE FEE PAID: TYPE OF UNIT: DWELLIN,Cyy�OTHER_ CHECK# S3 �O CHECK DATE NOTES: 1 CODE ENFORCEMENT INSPECTOR 9/28/98 Y CITY OF SALEM, MASSACHUSETTS BOARD OF HF�U TH 120 WASHINGTON STREET,4'" FLOOR TEL. (978) 741-1800 KIMI3ERLEY DRISCOL.L 1 AX(978) 745-0343 MAYOR DcaeeNBAUNI SA1,E%4 cova DAVID GRi:T,NI3AOM ACTING HEALn-I AGENT CERTIFICATE OF FITNESS CERTIFICATE #362-09 DATE ISSUED: 8/25/2009 Property Located at: 9 High Street UNIT#3 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-3298 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 BqARD OF HEALTH DAVI EENBA ACTING HEALTH AGENT CO E E ORCEMENT INSPECTOR ,t q t I CITY OF SALEM, MASSACHUSETTS J BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DG 1gsN13AUTv1QSv 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." FEE: $50.00 PROPERTY LOCATED AT 44, 1'04 S fi UNIT# 3 IS THIS UNIT DIS NATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER J A/11 CCa,� Z C 2- MANAGER/AGENT NO P.O. BOX ADDRESS 3O D4 M Vi r O ADDRESS CITY, STATE, ZIP D ' Q z 3 CITY, STATE,ZIP RESIDENCE PHONE q70- 7 7 7- 3 2 ?S BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. a e1 2. wi 3. /-- / ✓ 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE ATT/THEkTIME OF INSPECTION APPLICANT'S SIGNATURE Tv2l Cq "-e - DATE —5--z;7 Inspectors use only Date on initial inspection: /� Date of reinspection: Date of issuance of certificate: S 0 Date fee paid: Type of unit: Dwelling ✓ Other Check# (0oq1Check date: Notes: 114-110 D)a op FI(Pkq Code Enforcement Ins ctor �1 1 t � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET 4."FLOOR PublicHealth e Prevent.Promote.Protect. -. TEL. (978) 741-1800 Fax(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin salem.com LAIt]tY RANNIN,RS/REHS,CL-IQ,CV-FS MAYOR 11F,AI;rrr A(;INT CERTIFICATE OF FITNESS CERTIFICATE#320-14 DATE ISSUED: 9/22/2014 Property Located at: 9 High Street UNIT#4 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 777-3298 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH LARIMRAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,V'FLOOR ft.RL TEL. (978).741-1800 FAX(978)745-0343 IQMBERLEYDRISCOLL ly 4Mdm L&salemcom MAYOR LARRY MfDiN,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 q N A 57 UNIT#_� IS TRIS UNIT DIONATED AS RIGHT LEFT FRON' ORS PLEASE CIRCLE ONE OWNER/LESSER Jo A h CRS er .e MANAGER/AGENT NO P.O.BOX ADDRESS 3 D� 5 i ADDRESS CITY,STATE,ZIP D All Ifel S a o ! U � Crm STATE,ZIP RESIDENCE PHONE q? - 777- 37ge BUSINESSPHONE(24HRS) BUSINESS PHONE—Le-4 -472- $z>3 -3 Z 9 3 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2 O t a 3. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEYORDER TO THE CrI`Y OF SALEM I30ARD OF HEALTH TIM FEE IS PAYABLE AT TIM TIME OF INSPECTION APPLICANT'S SIGNATURE Gc- —DATE-9— Z 2 -IV Inspectors use only Date on initial inspection: oba Date of mbspection Date of iss=ce of ceakificate: Date fee paid: Type of unit: DwellinKOtherCheck# Check date: Notes: codeymfi6iment Inspector i CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH s 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 1/12/05 Wlodek Matczk 409 Ipswich Road Boxford, MA 01921 PROPERTY LOCATED AT 10 High 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. Fob the Board of HealtFj Reply to Jdanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector d�OND1T,1 City of Salem, Massachusetts 1 W Board of Health 120 Washington Street, 4th Floor, Salem, PublicHeatth 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-15-280 DATE ISSUED: 9/10/2015 Property Located at: 11 HIGH STREET UNIT#1 Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978) 777-3298 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 SANIT4 IAN • CITY OF SALEM, MASSACHUSETTS BOARD OF HFALTH -120 WASHINGTON STREET,4"'FLOOR - TEL. (978) 741-1800 KIM 3ERLF-Y DRISCOLL FAX(978)745-0343 MAYOR LRAMF IN@SSAI-�M.COM LARRY RAMDIN,RS/RE1IS,CHO,CP-FS HEAL:r1i 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 l 4( G 1 t 5 7 UNIT#�_ IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR CK PLEASE CIRCLE ONE OWNER/LESSER—,S074/14 Cl P E C E MANAGER/AGENT NO P.O.BOX ADDRESS 3 o S PA 1�2 'r ADDRESS CITY, STATE,ZIP__D L4 VI ✓c g 9 CITY, STATE,ZIP 9 G R 'Z3 RESIDENCE PHONE-97d- 7 77- 3 Z Q f BUSINESS PHONE(24HRS) BUSINESS PHONE 4 78 - z r3 - 3 z g �j TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3 e{, 3. D e of 4. fC`r 5 6. 7. 8. 9. 10. THERE IS A FH77T($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 S4M 6; C DATE q 4' /S Inspectors use only Date on initial inspection: C{129/2 o15- Date of reinspection: Date of issuance of certificate:/09/Z01S- Date fee paid: 09/0 9/ ZI- Type of unit: Dwelling—V' Other Check# 71LL Check date: D7/011)-Q1-Y Notes: C I rcementA ector k CITY OF SALEM, MASSACHUSETTS 00 BOARD OF HEALTH ublicHea 120 WASHINGTON STREET,4".FLOOR PIth TEL. (978) 741-1800 F.-ax(978) 745-0343 KIMBERLEY DRISCOLL Itamdin@salem.com - LiARRY RAbIDIN,RS/R[?Hs,(A 10,CV-[+S MAYOR - HEALrij AGENT - CERTIFICATE OF FITNESS CERTIFICATE#005-15 DATE ISSUED: 1/6/2015 Property Located at: 10-12 High Street UNIT# 1 Owner/Agent: Wlodek Matczk Address: 4 Kenney Road City/Town: Middleton, MA Zip Code: 01949 24 Hour Phone: Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH ` LARRIP111AMIDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR LRANIDIN cOi SAI.rNLCOM LARRY RAtDIN,RS/RITIS,(1110,CP-JS H F!\l,rl-1 AG I';NT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" FEE: $50.00 PROPERTY LOCATED AT \C) —\-)— h\ \n SA- UNIT# I IS THIS UNIT DISIGNATEDAS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER \`\ .3�� ��r� Z MANAGER/AGENT NO P.O. BOX ADDRESS IA ADDRESS CITY; STATE, ZII' CITY, STATE,ZIP k� \C\\\C\ RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONEr CZ1t4m, TOTAL NUMBER OF ROOMS:__ ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE � DATE nAi— Inspectors use only Date on initial inspection: C(�'� �) Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: _ Notes: Code rifo(cement Inspector `oND� City of Salem, Massachusetts a?1rP 9 Board of Health " 120 Washington Street, 4th Floor, Salem, P,<.PtlblfCmoHealt]i MA 01970 t. Kimberley Driscoll Tela(978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16-493 DATE ISSUED: 12/19/2016 Property Located at: 13 HIGH STREET UNIT#Basement Owner/Agent: John Capece Address: 30 Spring Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone:(978)777-3298 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. e�Bar Larry Ramdin, MPH, REHS, CHO HEALTH AGENT /// SANITAIj • CITY OF SALEM, MASSACHUSETTS 1P BOARD OF HEALTH 120 WASHINGTON STREET 4"'FLOOR PabllcHeath � Prwem.Promote.Protect. TEL. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL Iramdin&salem.com MAYOR LARRY RAMDIN,RS/RI3HS,CHO,CN-FS HE ALTA 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 13 ST UNIT# 8 a s IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK.PLEASE CIRCLE ONE OWNER/LESSER .�Q � V1 CI`1 P� C MANAGER/AGENT NO P.O. BOX C , ADDRESS 30 ti I M 0- �� -ADDRESS CITY, STATE,ZIP n <} {�Q{ra l Ltlg O l Q Z 3 CITY, STATE,ZIP RESIDENCE PHONE 9 Tl- -7 e?7 3 2 f� BUSINESS PHONE(24HRS) BUSINESS PHONE 9 7 �/: , - �2 4 TOTAL NUMBER OF ROOMS: ROOM USE: 1. ! 2. Bed 3 t. t d 4 I i 5 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �fl N M ��J C� DATE /Z -/ qq Inspectors use only Date on initial inspection: . 2WI4201C Date of reinspection: Date of issuance of certificate: 12 d q12Lm Date fee paid:i/Zq/?Ou Type of unit: Dwelling Other Check#_ Check date: 1.uI9�2©1 Notes: nfq cement 5or CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCICErsNUAUM@SAI.ral.com DAVID GRIr.I;NBAum,RS ACTING HEA1.,T-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#405-10 DATE ISSUED: 8/26/2010 Property Located at: 14 High Street UNIT# 1 Front Owner/Agent: James Coviello Address: 33 Bird Avenue City/Town: Charleston, MA Zip Code: 02129 24 Hour Phone: 617-242-6832 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH,/ v / ) DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS V • 'I BOARD OC HE,-\LTH 120 WASHINGTON STREET,4...FLOOR TET... (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRiaeN11AUM@SA1,1,M.CONf DAVID GREENBAU1I,RS ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." /L FEE: $50.00 APROPERTY LOCATED AT " IT1IF UNIT# IS THIS UNIT DISSIIG—ATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE QESSER �mLS &V 1 ( I d MANAGER/AGENT x ADDRESS ) I ^ ADDRESS CITY, STATE,ZIP 4,h��l�S/(JLU �1 CITY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE (24HRS) BUSINESS PHONE TOTAL NUMBER ;;��OFROOMS: ROOM USE: 1 i3air-u1j. 2 L",-+Glai, 3 Uv\*JC rfg9. -1 5 6. 7. 8. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE I PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE �' DATE– d 0 Inspectors use only Date on initial inspection: G�& /D Date of reinspection: Date of issuance of certificate: [f a.(p /0 Date fee paid: 0 , Type of unit: Dwelling_-VOther '' •C• �heck# d, Check date: Notes: C/l E/l P x r �60n4 room <sU� afro orlwd- Co Enfo cement Inspector r pvlquNCity of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, Pab�icHealth MA 01970 Prevent PFn uDte.er«ecr. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, RENS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-331 DATE ISSUED: 10/5/2017 . Property Located at: 14 HIGH STREET UNIT#1R Owner/Agent: Craig Sager Address: 8 Ferry Lane Unit 4 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone:(617) 901-8707 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, MASSACHUSE"ITS r a BOARD OF HEALTH 120 WASHINGTON STREET,4" FLOOR TEL.(.978) 741-1800- KTMBERLEY DRISCOLL F,tti(978)745=0343 MAYOR LRAMDIN 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 / �l B ''l � Ste' h'1 �� UNrrB� IS TBTS UNIT DISI D ASRIG LEFT FRONT OR BACK PLEASE MCLE ONE OWNER/LESSER o MANAGER/, Q NO P.O.BOX ADDRESS I ( r�f DRESS CITY,STATE,ZIP *t VI;` CITY,STATE,ZIP M S RESIDENCE PHONE BUSINESS PHONE(24HRS). &- —9dI-Sj-7z9 Z BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM.USE: � kf k3 2. D R 3_�R 0!/ 4-Re tQ 5_ 7. 8. 9. 10. THERE IS.A FIFTY($50)DOLLAR AYABLE BtE K OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS A LE AT THOF INSPECTION APPLICANT'S SIGNATURE ` DATE Ins tors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check# Check date: Notes: Code Enforcement Inspector F CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4T°FLOOR PllblicHea Ith TEI:,. (978) 741-1800 FAx(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin a,salem.com - LARRY 1LVMlJ1N,RSR]^:1-15,C1 10,CP-FS CERTIFICATE OF FITNESS CERTIFICATE #343-12 DATE ISSUED: 8/22/2012 Property Located at: 14 High Street UNIT# 1st Floor Rear Owner/Agent: James Coviello Address: 1 Constutional Center City/Town: Boston, MA Zip Code: 02129 24 Hour Phone: 781-718-6832 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HF.ALTH II 1 LARRY"lTAMDIN HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS I ��3��' BOARD OF HEALTH 7 120 WASHINGTON STREET,41°FLOOR TEL. (978) 741-1800 ICTMI3ERLEY DRISCOLL FAX(978) 745-0343 MAYOR LlMim prNnsAIENLroNI L.,AliRl'ItsANIDIN,16/RW IS,(:I IV,C;I'-I+S I-II{\I; [I/\({ISN'T' 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 Lf h�) �a�-I S UNIT# S!FL %Z IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACKS PLEASE CIRCLE ONE J OWNER/LESSER AV4 FS CO MANAGER/AGENT NO P.O.BOX �' �(/� I ADDRESS l Co n,5 7� 7r u ►v AL- H�atr ADDRESS v� Il CITY, STATE,ZIP &6 /o n' CITY, STATE,ZIP 1�I l� hrr1��� oaf 9 RESIDENCE PHONE BUSINESS PHONE(24HRS) !9/" 7/Lf 68 3 2 BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1. % 2. RF,O 3. R6D 4. OLP 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION /� APPLICANT'S SIGNATURE `t—� �fil"v+� DATE 9 aZ o20/� Inspectors use only Date on initial inspection: - 2 Z^)"1 Date of reinspection: Date of issuance of certificate:_ �` Z( �1'Z Date fee paid: Type of unit: Dwelling---,,,Other—Check# ��`� Check date: Zca`•) ti Notes: Code Enforcement Inspector I `t coNm e City of Salem, Massachusetts r Board of Health 'ar r 120 Washington Street, 4th Floor, Salem, PublicIiealth •eeN MA 01970 Prevent, Prnmote.. Piotect. 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-16-216 DATE ISSUED: 6/23/2016 Property Located at: 14 HIGH STREET UNIT#2F Owner/Agent: Craig Sager Address: 8 Ferry Lane Unit 4 City/Town: Marblehead, MA Zip Code: 01945 24 Hour Phone: (617) 901-8707 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 j Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS " &IvKOci Ili;.nl:iii 120 YC �,i-❑Ni;'rI 1� ��iu�;r:' 4"'FLOOR TFr.. (978)741-1800 KIMBERLEY DRISCOLL F,\x (978) 74.5-0343 MAYORRAbuDINCa)sALeM.cobl L,,ARRY RAMDIN,RS�REIIS,CHO,CP-F'S IICALrII AGI NP 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 y /�) S 147 M 14 UNIT# o SIS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER ( J R A-L a 5 44Z MANAGER/AGENT BOX Q ADDRESS (� � es'��` �" LV� 5� ADDRESS— It ADDRESS 41I^ CITY, STATE,ZIP ®I` 1 �LE f{FI`1 I� CITY, STATE,ZIP I. � RESIDENCE PHONEBUSINESSBFUSINESS PHONE(24HRS) CO�>— G ��" >0 BUSINESS PHONE^`11I — 22 TOTAL NUMBER OF ROOMS: ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A FIFTY($50) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE 1& d w� DATE--6.5�166/b Inspectors use only Date on initial inspection: I � Date of reinspection: 2 3 Date of issuance of certificate: 2'�a> l Date fee paid: &211611 Type of unit: Dwelling 4-Other Check# I Check date: LP 131019 Notes: kAQ it : 0011 S� � C tJJ7 2i 13�2gq LO Alo��'(� Code orce nspector liispection�of / I�l' 2 F - Date 1 I Time 10= .35 Name /�, a f7l Q/ /� Address Owner lit C,,� 9 �y 'e /� Tel. No. _� 1 7 — !301 — � U I Type of Inspection t�Ll9' CPx ihce. C0 1-e /0- /� � S Inspector c)-�PPran , ( e JA r!i/)K-() ' )``R11emarks and Violations are listed below: 165- CAW- (4 / 0 . &0-0 tj CaYji nen � handl m 's6 I`nq on C4door 6,elocj /if, sink . y /o. sop - Ccs rrPGeJ 617-311 (o — cl in I n r a-yi ri q ti k ioj "nd(0( CoslaG 4a6-i( y . CA? (ncJU�:)oXiC) nCA S1r�-�-r oG02n L�V-"n 3 � Sho� Pr hPae1 t'n Sheer - r)oF 0Perabfe - WCJe-r WO(A-LJ not- Corse- ()Lk of 4he shoLjor hga-d , 122dNt► C 0(� r Zpkac.e shows C C�-J • V/9 . 3 S- i Co rreci-ce) ' 2 I Poor board won bc-Aroux-, 4x-)J2 &`f or- obi �)Akr �amdra �1 ana2 no t eaS 1 ecuna6Le . ePa14cr. /o Cm2 '41 o, lo. ! U Klv _ s-o �qZ3 b S SCS � `/ � :5) ba5a V3octrd bP(ot-3 a:)c)m arnar*a- 'koxj — _A0 2_ h!29r-e au surP&L-es a6p ebtsitU cieu-no bC! smoo cl i� k Q 4-0(n c�.e.��- s . 4D, ;sem, q/ C) , l E v � �/ `(,L-�r�r e&te-a cif�3ll lu�La-r0,kc- e,( os w- /n Uit'nq room or LQr- ,e 6ea rnom — how-s aroonel i n cios-P-• Se" ho1Q.5 �v vP-i t Y-ode„4 u o . s'op — C6rr4964-Ed '7, Srnat 1 GPosd- in bedroom _ 0---?ojt pa-iod '' -�^-azt iQe lePulIPpinq g(_'(� _COa.11 , JgDor5 (mel CajcCLLOn�a Cln&ei U--xLlls v7o-F Srnoo4, and- P4 g �Iu Geana-b(-P . PP.PAth « ( Q Soo _ Oorre(fa 6/"-73J1(0 0 P 10(xis i f Q�- 60 6k rn OP 'S& i r S. ' er'-d X10 1-q prow Pn l rLx0e>7 j PrI ti , Ens ung r• pe 1rs atie 5?r) oco%4, ct t I ta.S t(y C ec,ha {ALL-, 4117. S'oc7P 1 of Re ort Received b • —5- e e PC, 2- r Inspection of /Y7f/YI�� D,'t '#/' //t�� /__� � 1 Date �� � � Time Name M'cb Q rod O 06/1 ( h'ri�✓✓ei' /7V��a.l Address p Owner errkia ' C�tJ-�f / /� �— ,[� ,, Tel. No. _�[7� -, `OI Type of Inspection Ove C4 �e t-y- `� I&eSS Inspector ��Z ahGni e ( ' Remarks and Violations are listed below: / DC7 S CM z? y/O . uLn0 /_J � n &aelznO b✓rnP�S rttSkj i7ol 5a7oog i Gpec0a6LP . l�crz . a , �r r ca 17311 Lo CycOsSi'y2 gVpCwj5e bvl'IdLV on vend- CLOovp nVen Nb+ cieu) ai smaokG. . greg-?-5e and Cher cuQC &if' l0 elkrior O-P alien . 111a.r04 Correc -J (01'23ko 11 � Lt 4h4 0n cA.)UII of fvje O-P S4ir_< Cu,1j ho / jrn 61-9 �'n�ree�l-2a� (pI 2 31 ► 17- Sur eeT? KWgd a� 7'be2 elir S'4G r S 12 e�o14 6? Scrt�.Prr_ Corlrec.4� 1X 311 Lo SeCohd A00, 15cel ► helroo — P 0(d i Acv� liatsPfo4 / 110t a 1 { acfv d 4-D a !i 2 e ; r. - T2_3/ to �LLo0 r. S'Lf h m 14 M054 (eCe,n pe5f Con hrDi `,e Tool- Qnc) a/4 .. pe,4 Y eppr `L } 4;,Cyn 1 o is - A!0 ,,9s G�A 5 , 6 �oC1'5 S io (o n I bn rs (Cx�/ rY� OBJ 6t r e not r,ni ice DID — �r��'�feP ,: 1l 17 �ron� r dcor -�o Common &rea- -ILS � 7L.V-)r Ave ae r ►^es s -4 rct2 o s u c k l Lj ,'AA / s l 2mS vQej o n Le 1 In l ` b�sttOeal 6We6l-q ✓ t9 aru �on6oc4�n7 delb 's behind oU4('�oo�Al�ie�/� 11?emo�? UnC,L 1P 0 In -Aoar n 'I to lto Ito ` �"�CU v' I ' ill- 'U1� Re ortReceivedby: 1 h ;ms _ Inspection of p 3, Date s I� Time Name - 'Dono ��^" Address Owner 1^C11�1 �t �'Q( . i ( � Tel. No.t(,al� Type of Inspection ��i i i n G.Q[� +`-t to Inspector <3, ( ' Remarks and Violations are listed below: —.. (p � 1 � f�-i I �/'��r�( a ��`u75 a'10 01 D✓1,_ `�--h.��.o�� f I'1i _��—_. t R { Report Received by; ✓d�/' ', 4011.11 (u� 17v,�rl 6/16/2016 Unofficial Property Record Card Unofficial Property Record Card - Salem, MA General Property Data fill , Parcel ID 25-058" Account Number Prior Parcel ID 31 — Property Owner KAYSE PROPERTIES LLC Property Location 14 HIGH STREET I SAGER CRAIG Property Use Apts.4.8 /9 01 v1,. Mailing Address 8 FERRY LANE UNIT 4 Most Recent Sale Date 4116/2013 I b; L/V/7-' ,1 Legal Reference 3238436 City MARBLEHEAD Grantor SAGER,CRAIG B e i 5pe Mailing State MA Zip 019453281 Sale Price 0 ParcelZoning R2 Land Area 0.064 acres Current Property Assessment Card 1 Value Building Value 363,400 Xtra Features 300 Land Value 80,500 Total Value 444,200 Value Building Description Building Style Apt 4$ Foundation Type BricklStone Flooring Type Hardwood #of Living Units 4 Frame Type Wood Basement Floor Concrete Year Built 1870 Roof Structure Gambrel Heating Type Forced HM Building Grade Average Roof Cover Asphalt Shgl Heating Fuel Oil Building Condition Average Siding Asbestos Air Conditioning 0% Finished Area(SF)3847.2 Interior Walls Plaster #of Bsmt Garages 0 Number Rooms 16 #of Bedrooms 8 #of Full Baths 4 #of 314 Baths 0 #of 112 Baths 0 #of Other Fixtures 0 Legal Description Narrative Description of Property This property contains 0.064 acres of land mainly classified as Apts.43 with a(n)Apt 4$style building,built about 1870,having Asbestos exterior and Asphalt Shal roof cover,with 4 unit(s),16 room(s),8 bedroom(s),4 bath(s),0 half bath(s). Property Images ri v,g yGt. 2i g„ Sk Disclaimer.This information is believed to be correct but is subject to change and is not wananteed. http://salem.patriotproperUes.com/RecordCard.asp 1/1 J CITY OF SALEM, MASSACHUSETTS ori • BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1DIONNr.&Al rM COMI ]ANI;P DIONNF, Ac11NG HEAL;III AC13N'I' CERTIFICATE OF FITNESS CERTIFICATE#501-08 DATE ISSUED: 10/7/2008 Property Located at: 14 High Street UNIT#2 Rear Owner/Agent: James Coviello Address: 1 Constructin Center Suite 100 City/Town: Boston, MA Zip Code: 02129 24 Hour Phone: 617-242-6832 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 �OFF HEALTH � Jl ANLT DIONNE ACTING HEALTH AGENT CODE ENFORCEMENT 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 IDIONNF[l�SALEM.COM f.; JANET DIONNE, oc ACTING HEALTH AGENT 80AR OF S 8 h 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' y / / �� / S/j/(M UNIT# � �IS THIS UUN —DISIGNAfEED AS RIGHT LEFT FRONT R AC LEASE CIRCLE ONE OWNER/LESSER ��" 1 � ��� (�Q�teT((J MANNAGER/AGENT ADNOP*DRESS BOX ���iih i���/�7/� I� DRESS CITY, STATE,ZIP CITY, STATE,ZIP RESIDENCE PHONE U`1�� BUSINESS PHONE (24HRS) ��� BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. 2. 3. 4. 5 6. 7. 8. 9. 10, THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PPAYABLE A THE E OF INSPECTION l J APPLICANT'S SIGNATURE // ' DATE nsnectors use only Date on initial inspection: 1 d'7 -o t Date of reinspection: Date of issuance of certificate: to--I•Q,8 Date fee paid: Type of unit: Dwelling ✓ Other Check#222S 7y+Io Check date: b)Y)o k Notes: ode EnfoiVeravent Insp or co CITY OF SALEM, MASSACHUSETTS ��6 BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR CERT.# 41-03 SALEM, MA 01970 FEE $25 .00 TEL. 978-741-1800 9aq DATE: 02/03/200.3 Fax 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 14 High Street UNIT #: 3 Rear OWNER/AGENT: Jim Coviello ADDRESS: 285 Beech Street CITY/TOWN: Revere, MA ZIP CODE: 02151 24 HOUR PHONE: 289-1468 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD �O/iFyF HEALTH ,r JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR X T^ CITY OF SALEMsMASSACHUSETTS BOARD OFHEALTH 3 120 WASHINGTON STREET-;.4TH FLOOR _ - * SALEM, MA 01970 f TEL. 978-741-1800 FAX y/b-/4J-1I343 STANLEY USOVICZ, JR. _ JOANNE SCOTT, MPH, RS, CHO MAYOR - HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS e # IN ACCORDANCE1WITH.STATE SANITAff, ODE,,CHAPTER II .1:05 CMR 41-0 000 _ 1 MINIMUM STANDARDS OF FITNESS FOR �UMAN HABITATION!' t 11 PROPERTY LOCATED AT 7 h/q UNIT# ne9 r IS THIS UNIT DESIGNATED AS RIGHT LEFT`FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER � I� Cr 14I��rMANAGER/AGENT �Q f f ti/K O�P✓I L�P '" + F' NoT4 ^ ',7,"+NOP.O.BOX Jr ADDRESS ADDRESS o , ;♦ CITYy�P V C�f !' bdl� CITY_ RESIDENCE PHONE7I^r)Zj l-�G-'T:�BUSINESS,P--HONE-(24 HRS)'- . `e _4 �' :.:�t� £`�k�. , `"a'`.'''`�fid.§,ax'r�� � ,,. +3^;. '1, 1$(���c�e"� `-xt .x•;.=,. E..� . _. _ TOTAL NUMBER OFROOMS: 7 ROOM USE: ✓ 3. 4. `S 6. 7 r g THERE IS A_TWENTY-F.IVE($25.00)DOLLAR FEE .A YABLE'BY.CHECK.OR'MONEY _ 4 --ORDER TO THE-CITY'OF=S'ACE EAL-TH.D MT THISzFEE IS PAYABLE AT.THE - ' i x" TIME OF INSPECTION." 4: ,3 , APPLICANTSSIGNATURE DATE a2003 INS ECTO S USE ONLY DATE OF INITIAL INSPECTION -) DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE) '3 fl 3 DATE FEE PAID: 1 3 � TYPE OF UNIL• DWELLING • O OTHER .CHECK# CHECK DATE NOTES: } �;l ,•� ' t: #.� � : . ..:,, j3,.� 33x4#@AA;4.g CODE ENFOf30EMENT,INSPECTOR ' _ 9/28/98' 1 f ' v� ~ CITY OF SALEM, MASSACHUSETTS co �gd BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR S3 SALEM, MA 01970 CERT.# 40-03 TEL. 978-741-1800 FEE $25 .00 FAx 978-745-0343 DATE: 02/03/2003 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 14 High Street UNIT #: 4 Rear OWNER/AGENT: Jim Coviello ADDRESS: 285 Beech Street CITY/TOWN: Revere, MA ZIP CODE: 02151 24 HOUR PHONE: 289-1468 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 . FCW THE BOARD OF HEALTH I� `f o 4 JOANNE SCOTT, MPH,RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR x A> ..- - a • sr r `X .-Cu �...."Ti }.' 6Y .T'�"` CITY OF SALEM, MASSACHUSETTS e..- BOARD OF HEALTH R 3 s 120 WASHINGTON STREET,"4TH FLOOR ` D� - [ a SALEM,.MA 01970 TEL978-741-1800 - T" Fax 978-745-0343 . e STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO -- MAYOR HEALTH AGENT t R . APPLICATION FOR CERTIFICATE OF.FITNESS, kIN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 t ..MINIMUM STANDARDS OF FITNESS FOR IAUMAN HABITATION". PROPERTY LOCATED AT / VA /9 Tf Scr&_-&:I UNIT#_VJC-ct r IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE tt _OWNEWLESSER � In 1 h b ylcI c� MANAGER/AGENT a J -e + rt __* ,No P.O Box - : - No P.O. Box ADDRESS 8 S _ c"c ADDRESS CITYE V'r (C' CITY M/2— �4 RESIDENCE PHONE7 L-.aF2-1YI �T BUSINESS PHONE HRS.)_: - I BUSINESS PHONE�� TOTAL NUMBER OF ROOMS: !� p ROOM USE: 1:_1�J 2. L I ✓ THERE IS A TWENTY-FIVE($25.00)-DOLLAR'FEE, PAYABLE BY CHECK OR MONEY`;-- F ORDER TO THE CITY-OF SALEM HE TH DEPART THIS FEE 1S PAYABLE AT-THE. TIME OF INSPECTION. APPLICANTS SIGNATURE DATE�3�� t INSP CTORS USE ONLY DATE OF INITIAL INSPECTION :?- -3 > DATE OF REINSPECTION i DATE OF ISSUANCE OF CERTIFICATE:2> v 3 DATE FEE PAID: 2 - 3 d 3 `TYPE OF UNIT: DWELLING OTHER— CHECK# a CHECK DATE 2�3 NOTES: , t — � � •. �# � 'k t �+ -A ";" � f},['.��. a*S :.J.:p S,'. f. hdi e10 > ` __ A.. . . r ".. CODE ENFORCEMENT INSPECTOR 9/28/98 i✓r , ±>, 4' z t.». a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 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 03/13/2002 CWT Realty Trust c/o Christopher Cruger 37 Commercial Street Marblehead, MA 01945 PROPERTY LOCATED AT 16 High Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD HEALTH REPLY TO Joanne Sc , MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR e0N111T vQ� n � CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO 120 Washington Street 4`h Floor HEALTH AGENT Tel: (978)741-1800 06/27/2001 Fax: 978-745-0343 Stacy John Thomas 9A Cottage Street Cambridge, MA 02139 PROPERTY LOCATED AT 16 High Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. - 4:00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8:00 a.m. - 4:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. THE BOARD HEALTH REPLY TO qOR oanne Sc MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR v H h 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 01/13/2000 Fax:(978)740-9705 Stacy John Thomas 9A Cottage Street Cambridge, MA 02139 PROPERTY LOCATED AT 16 High Street UNIT # 1L 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 I occupancy in cases in which cross-metering has been proven to exist. R THE BOARD 0 HEALTH REPLY TO eartanne'K S of MPH,RS,CHO PABLO VALDEZ h Agent CODE ENFORCEMENT INSPECTOR r s �' coxur CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH w V 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 CERT.# 148-02 FEE $25.00 TEL. 978-741-1800 DATE: 03/20/2002 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 16 High Street UNIT #: 1 Right OWNER/AGENT: Chris Cruger ADDRESS: 37 Commercial Street CITY/TOWN: Marblehead, MA ZIP CODE`. 01945 24 HOUR PHONE: 631-6795 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. R THE ARD OF HEALTH I�= L&Y JOANNE SCOTT, MPH,.RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR o CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 6 120 WASHINGTON STREET, 4TH FLOOR p � SALEM, MA 01970 r A 0 Cyd TEL. 978-741-1800 Q' FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ""*4O Ff 4 & � UNIT# IS THIS UNIT DESIGNATED A RI LEFT FRONT SCK PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT No P.O. Box - No P.O. Box ADDRESS 3 7 G ADDRESS CITY CITY RESIDENCE PHONE7ifl 6 31 3 d /6 BUSINESS PHONE (24 HRS.) 2 fl 3 BUSINESS PHONE TOTAL NUMBER OF ROOMS: , ROOM USE: 1 / /p 2. AtiX 3. 4. _� _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 �'A jFbw.lui� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 2u oy DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE3 DATE FEE PAID:�'S ' 7-10 —0 _-Zi— TYPE OF UNIT: DWELL INyy BOTHER_ CHECK# G CHECK DATE__5 �yr• U NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �OW11T CERT.# 568-00 FEE $25 .00 DATE: 08/29/2000 NA_ '6'C/IIMB 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: 16 High Street UNIT #: 4 Left OWNER/AGENT: Stacy John Thomas ADDRESS: 9A Cottage Street CITY/TOWN: Cambridge, MA ZIP CODE: 02139 24 HOUR PHONE: 576-3414 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. OR THE BOARD 0( HEALTH - - Q u "- 402�- JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 3 1�, jfF CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 APPLICATION FOR CERTIFICATE OF FITNESS Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT144 T UNIT# IS THIS UNIT DESIGNATED AS RIG .LEFT RONT BACK PLEASE CIRCLE ONE OWNER/LE` NIANAGER/AGENT ADDRESS �[ ADDRESS CITY �/"�� �/U��✓,/ / CITY RESIDENCE PH NE ' S�1� ' 51"e/ BUSINESS PHONE (24 HR BUSINESS PHONE TOTAL NUMBER OF/,,ROOMS:16 ROOM USE: 1;?1)/} 2.^03w0�q 4.6��_X/ ?W*6.&JM7. 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 UV DATE NSPECTORS USE ONLY DATE OF INITIAL INSPECTION R -/k[ ---V^ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: y-ti' DATE FEE PAID: _�''L�'-� TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR 5/19/98 c CERT.# 320-01 a FEE $25.00 DATE: 07/05/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street 4"Floor Tel: (978)741-1800 Fax: 978-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 18 High Street UNIT #: 1 OWNER/AGENT: Dora N. D'Iorio ADDRESS: 20 High 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, 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 / �/ (,�7` f// JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR v��CONDIT� of �§ 3 ap CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO 120 Washington Street HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 Fax: (978)-745-0343 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT UNIT#/ IS THIS UNIT DESIGNATED AS RIGHT LEFT O T BACK PLEASE CIRCLE ONE OWNER/LESSER T J MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS {-14g� _ _ ADDRESS CITY 2 /lj 7 OCITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE l TOTAL NUMBER OF ROOMS: ROOM USE: 1.1/_2. L 3.— _,ee 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„/,__ ���L DATE D O INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7- .r-6J / DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:'--S-t2/ DATE FEE PAID: 7 - S- TYPE OF UNIT`. DWELLING 1/ OTHER_ CHECK#73 ?-7 CHECK DATE-2 S �� NOTES: OA- CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 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#319-06 DATE ISSUED: 6/20/2006 Property Located at: 20 High Street UNIT# 1 Owner/Agent: Dora De'Oreo Address: 20 High Street City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-0926 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. FO HE BOARD OF HEALTH ?L,"� -I;geo JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ,J. I • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT��` `7 _t • - UNIT#! V IS THIS UNIT DESIGNATED AS RIGHT LEFT_ FRONT BACK PLEASE CIRCLE ONE OWNEWLESSE817�a2A __b�S QAe 6 a MANAGER/AGENT No P.O. Box No P.O. Box ADDRESS / D JV/ k f Sy' a ADDRESS CITY �41�.�_ Y\ 7 J CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS:_ ROOM USE: 1._-2. 3. _4. 5. 6. 7. 3. 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 �oV �lvATE_(��—/ � INSPECTORS USE ONLY DATE OF INITIAL INSPECTIONC,--I(f �0 _DATE OF,REINSPECTION DATE OF ISSUANCE OF CERTIFICATEI; / (i0 & DATE FEE PAID: _ TYPE OF UNIT: DWELL OTHER_— CHECK # GE-� L.CHECK DATGC4,,j G' NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS 1 BOARD OF HEALTH 120 WASHINGTON STREET,4".FLOOR TEL. (978) 741-1800 KINIBERLEY DRISCOLL FA1(978) 745-0343 MAYOR ISC01T@SrU,1"M.COM JOANNE SCOTT, HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#317-08 DATE ISSUED: 7/11/2008 Property Located at: 23 High Street UNIT# 1 Owner/Agent: Josephine Casale Address: 23 High Street City(Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-1689 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. N 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. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 4ENF0RC T INS PE OR 317-� CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4P'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL F-1.1(978)745-0343 MAYOR iSCOITe ALF.ns.COM JOANNE SCOTT, HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMA HABITATION." �J FEE: $75.00 PROPERTY LACATED AT 3 l V` UNIT# 00(' IS THIS UNIT DISIG ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER MANAGER/AGENT NO P.O. BOX ADDRESS �2:3 . ADDRESS CITY,STATE,ZIP9 2�`zp CITY,STATE,ZIP RESIDENCE PHONE 12,q 7 if`j /G 51 USINESS PHONE(24HRS) BUSINESS PHONE / TOTAL NUMBER OF ROOMS: K�z-- ROOM USE: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. THERE IS A SEVENTY-FIVE($75)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS FEE IS PAYABLE A HE TIME OF INSPECTION APPLICANTS SIGNATURE i DATE Inspectors use only Date on initial inspection: / �O� Date of reinspection: Date of issuance of certificate: Date fee paid: Type of unit: Dwelling Other Check#Check date: 6 Notes: Co r n et 1 (s ci I Coe orcement inspector 1 SEN DER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete, , A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X - ❑Addressee so that we can return the card to you. Rete' ed y(Pdnted d,,W C. Date of Delivery ■ Attach this card to the back of the mailpiece, o or on the front if space permits. i0 D. Is elive ��QQdferent fror�i ❑Yes 1. Article Addressed to: If ES,enter all ddless be w: o �(�,1a4¢.r1Y, rra�'uKaa16 Gsa 5c1 -ra ���0 3. Service Type ❑Certified Mail 0 Express Mail 3.3 ') 13Registered ❑Return Receipt for Merchandise ❑Insured Mail 17 C.O.D. L 4. Restricted Delivery?(Exna Fee) ❑Yes 2. Article Number — 7005 3110OpOO 7160 '3521(I-ransferfromserNcelabel) dil1}� , - PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 f UNITED STATES P - ,z,•S _ 5 :�'•{' i :-;<T�; Vie: fr e e • MA 018 1 Sender: Please print your name, address, and ZIPns box I HEALTH I I I RiECE1 V pal ' 01970 IJUL 2 3 2000 CITY OF SALEM I BOARD OF HEALTH I I I U.S. Postal Servicer,: CERTIFIED MAIL.. RECEIPT (Domestic Marl Only;No Insurance Coverage Provided) �M Will For tlelivery information visit our website at www.usps.cora PS Fon,3800,June 2002 See Reverse for MsUuctions CITY OF SALEM, MASSACHUSETTS t BOARD OF HEALTH 1 120 WASHINGTONSTREET,4r FLOOR TEL. (978)741-1800 KINIBERLFY DRISCOLL FAX(978)745-0343 NLkYOR 1SC0Trnads_n x"M COM JOANNE SCOTT, HEALTH AGENT July 17, 2008 Joseph Casale & Rosemarie Fortunato 23 High Street Salem, MA 01970 Dear Joseph Casale&Rosemarie Fortunato; I'm sending back check# 182 for$75.00 for the Certificate of Fitness (23 High St#1} because the approval of the increase was not completed by the City Council. Our office was misinformed and the increase is not in affect yet. Please send a check for $25.00 to replace this one and we will send your Certificate of Fitness out to you as soon as we receive your replacement check. We apologize for the inconvenience;please call our office if you have any questions or concerns. Sincerely, gba�nne �Scotti�¢ Health Agent JS/HL Sent certified mail: 7005 3110 0000 7160 3521 \ . � +X`"'^"' Y o- 53 16 79SahiTV� r 8 2 rv�c ✓+. '' �L 'kR* %' M' s{- eh t 0ZiN �z, "�l;.+ x#�h" e JOSEPHINE CASALE " RO.SEMARIEFORT[JNATO C * 4 5T 4yY�iX� r �, �y sE �� `a'� DATE i M ✓ xu� D w 23HI *019703328``s� (x "T3v �«- SA6F.M MA w, +ka 2*�y=* �r a�vs �*2S"` ,� "« s,z�+ `fit "`�, �g' 5,111% �a',t'°.a.Y. � 93 �' = i. ) tfne #F^ r ��+. w y, ,p ` s �4n L z.PAY TO �$ s�$'� ''`$r� � 'r�r r•" ti v. 'rpi ,c ' ��" Y t uSy z" C§��� & V. j�"',Fi Yy 4�S 3 s r A MEMO M gON01T CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO 120 Washington Street HEALTH AGENT Tel: (978)741-1800 08/06/2001 Fax: (978)745-0343 James Vipperman S ' 100 Humphrey Street J L Marblehead, MA 01945 PROPERTY LOCATED AT 24 High Street UNIT # 1 Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11, Article XIII of the City of Salem Code of ordinances, Section 2-334,titled "Certificate of Fitness, " each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000; State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8 :00 a.m. - 4 :00 p.m. Thursday 8:00 a.m. - 7:00 p.m. and Friday 8 :00 a.m. - 4 :00 p.m. Failure to comply with this procedure, may result in a fine of Twenty (20) dollars per day for every day that the dwelling unit is occupied without a Certificate of Fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenants' entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. OR THE BOARD F HEALTH REPLY TO Joanne c MPH, ,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CLTY OF SALEM, KASSACKUSE'TTS BOARD-OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR BALM NFA 01970 TEL. 978-741-1800 0 - FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RSICHO- NFAYOR- HEALTH AGENT 4/19/05 Hoiloran Development LLC 41 Fairmount Street Salem, MA 01970 PROPERTY LOCATED AT 24 High Street Unit 3 Dear Sir/Madam: It has come to our attentionrthaLyou-may heconsideringrenting 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 torentthe 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-&.00-a.m.— 1-2:00 p.m. Failure to comply with this-procedure,.may resultina fine of Twenty($2(Y.00)dollars per day for every day that the dwelling unit-is occupied withoutaCertificate-of-fitness. A$25-00 check payable to the City of Salem is required-for each unit inspectedat the time of inspection. A property owner is required to-pay gas and-electricity for residential tenants if there is not awritten iefting agreement stating-the-tenant L&responsible for those utilities and if the meter(s)records electricity and gas use whichis notused exclusivelyby thatternant 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 ne Scott MPH, RS,-CHO Pablo Valdez Health Agent Code Enforcement Inspector 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 J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 6/15/05 Holloran Development LLC 41 Fairmount Street Salem, MA 01970 PROPERTY LOCATED AT 24 High 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 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. FortheBoard of Healtthh� Reply to Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector CITY OF SALEM, MASSACHUSETTS y 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 3/24/05 Holloran Development LLC 41 Fairmount Street Salem, MA 01970 PROPERTY LOCATED AT 24 High 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 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A$25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F he Board of Health, Reply to IVth t,t Joanne Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector i C a � s CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT - Tel: (978)741-1800 Fax:(978)740-9705 04/12/2001 James C. Vipperman 100 Humphrey Street Marblehead, MA 01945 PROPERTY LOCATED AT 24 High 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 410.0,00; 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. F T REPLY TO ! oanne Scott, MPH,RS,CH0 PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR v��,coxorr F �Prhr� CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 120 Washington Street 46'floor Tel: (978)741-1800 08/21/2001 Fax: (978)745 0343 James C. Vipperman 149 Village Street Marblehead, MA 01945 PROPERTY LOCATED AT 24 High 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, Section2-334,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 F HE LTH REPLY TO Joanne Sc0 t, MPH,RS,CHO PABLO VALDEZ Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR - TEL. (978) 741-1800 KINIBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGItcI NBAUMae SAia:M.COM DAVID GREENBAUM ACTING HEAL.TI-I AGENT CERTIFICATE OF FITNESS CERTIFICATE#484-09 DATE ISSUED: 9/25/2009 Property Located at: 26 High Street UNIT# 1 F Owner/Agent: Eva Blumgart Address: 26 High Street 2R City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-836-9133 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 �/� �k 1 0 L/ "— DAVID GREENBAUM ACTING HEALTH AGENT CODE FORCEMENTINSPECTOR `rte CITY OF SALEM, MASSACHUSETTS M + BOARD OF HEALTH 120 WASIIINGTON STREET,4T"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGRI3ENBAUM@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." 1 �`�FEE: $$50.00 PROPERTY LOCATED AT rZ k I J3 TC�� UNIT# ( F IS THIS UNIT DISIG ED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER n [L" ar+ —MANAGER/AGENT- 5L� ADDRESS Stt-e4l+ At ADDRESS CITY, STATE, ZIP Ste. ' w a� CITY, STATE,ZIP /� �I y RESIDENCE PHONE !� BUSINESS PHONE(24HRS) 'l T 8 BUSINESSPHONE 1 83� 913 TOTAL NUMBER OF ROOMS: 4 _ ROOM USE: 1. �AIZIfv, 2. LiV,'+g 3. btA 4. 5. -CCA, 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 PAYABLEAT THE TIME OF INSPECTION q APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: /aS�D Date of reinspection: Date of issuance of certificate: O&ID Date fee paid: �d S/D 9 Type of unit: Dwelling__J,�'Other Check#Check date: 9 aJ U 9 Notes: 411m p W wLg4(rj rWbon- b.PA&PL Ags ,— (PUALC 11 W(/d lt/J Code EnfolVeiiient for CITY OF SALEM, MASSACHUSETTS .l .� BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#235-05 DATE ISSUED: 4/13/05 Property Located at: 26 High Street UNIT# 1 R Owner/Agent: Richard Turk Address: 10 River Street City/Town: Danvers, MA Zip Code: 01923 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 If' Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 / 4 TEL. 978-741-1800 - FAX 978-745-0343 / STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO OZ3 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". t PROPERTY LOCATED AT G� -UNIT#l <31 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE_ L OWNER/LESSER(` AKC- 5t- MANAGER/AGENT >m'k - No P.O. Box V (� NO P.O. Box ADDRESS 0 wtt- ADDRESSt� CITY /V� l ) CITY ' '`6 RESIDENCE PHON�b��BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1._RQt 2. 4V 3. ht- 5.--6.-7. '`` '15. 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��TE l(?li d5 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION" �� 2 DATE OF REINSPECTION i DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID: TYPE OF UNIT: DWELLING OTHER_ CHECK# l 3' / CHECK DATEz a NOTES: j-x\ CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH ig 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 CERTIFICATE OF FITNESS CERTIFICATE#32-05 DATE ISSUED: 1/18/05 Property Located at: 26 High Street UNIT#2F Owner/Agent: Richard Turk c/o Jillisan LLC Address: 10 River Street City/Town: Danvers, MA Zip Code: 01923 24 Hour Phone: 617-846-0111 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code,Chapter If'Minimum Standards of Fitness for Human Habitation". Therefore,this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates,whichever is later.. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR /yTHE �BOARD OF HEALTH JOANNEISCOTT, MPH, RS, CHO �` f HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 G TEL. 978-741-1800 FAX 978-745-0343 STANLEY LSOVICZ, 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 �1` UNIT# F_ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER (,� _ �VCK MANAGEFI/AGENT NOP' o P.O. Bo {� No P.O. Box ADDRESS I�W�C � w' ADDRESS CITY f� CITY RESIDENCE PHON Ia�Ay BUSINESS PHONE (24 HRS.) LSI 1f1 ��1 `1 BUSINESS PHONE TOTAL NUMBER OF ROOMS: (( ROOM USE: 1._ -2. 3.LWG��'1M,4. 5. B l N-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 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �-/ `( e� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE/- I r , y DATE FEE PAID:_ a�I TYPE OF UNIT: DWELLING 1( OTHER_ CHECK# /S��CHECK DATE NOTES: T� CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH g{ 120 WASHINGTON STREET, 4TH FLOOR . Sc SALEM, MA 01970 .yBp1� TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 3/21/05 Richard Turk P.O. Box 263 Salem, MA 01970 PROPERTY LOCATED AT 26 High Street Unit 2R Dear Sir/Madam: It has come to our attention, that you may be considering renting a dwelling unit at the above address. In accordance with Chapter 11,Article XIII of the City of Salem Code of Ordinances, Section 2- 334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation. Please notify us if you do not intend to rent the unit. Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m. Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m.— 12:00 p.m. Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every day that the dwelling unit is occupied without a Certificate of fitness. A $25.00 check payable to the City of Salem is required for each unit inspected at the time of inspection. A property owner is required to pay gas and electricity for residential tenants if there is not a written letting agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in which cross-metering has been proven to exist. F�r 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 CERTIFICATE OF FITNESS CERTIFICATE#274-05 DATE ISSUED: 4/28/05 Property Located at: 26 High Street UNIT#2R Owner/Agent: Richard Turk Address: 10 River Street City/Town: Danvers, MA Zip Code: 01923 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 ll" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH JO NE SCOTT, MPH, RS, CHO / HEALTH AGENT CODE ENFORCEMENT INSPECTOR %;;4zt �w.<•..,•T_ ".:..tea ...�i 2+.:, CmrOF,SALEM, �ACHUSE[TS 0 4 BOARD OF HEALTH • 120 WASHINGTON'STREET.4TH FLOOR SALEM, MA 01970 TEL. 978-74 t-1600 FAx 978-745.0343 - STANLEY USOvtC2, JR. JOANNE SCOTT, MPH. R5, CHO MAYOR HEALTH AGENT [ 1� APPLICATION FOR CERTIFICATE OF FITNESS V IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER it, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN—HABITAT ON" PROPERTY LOCATED AT �`- � c=µ �� UNIT N \ IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER � (v MANAGER/AGENT No P.O. Box No P.O.Box Y ADDRESS � � rC W QC ADDRESS CITY__ �)�U — CITY RESIDENCE PHO1\1p� `t_1 tL BUSINESS PHONE (24 HRS.)_-,__,___,_____ BUSINESS TOTAL NUMBER OF ROOMS: ROOM USE, 1..---- . — 2 --- a .__. .?-_.. --- THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CH- OR MONEY ORDER TO THE CITY Of SALEM HEALTH DEP A _ T THIS - _ c IS PAYA � 1- AT F- TiFrE OF INSPECTION. APPLICANTS SIGNAT URE . " GAA F � �� � IN SVECI ORS (Y�L ONLY DATE OF INTI IAI INSPECTION I)AI� Ok� RFINSf'CI ION �7 'AI ! <}{ t_ialf+N'i l)f to-lil3f li'.Alt �j.� [)Aii 1 i i i,.*;l.t IYPI- 0i Z)NI-i 1WO II INt;�.,i �,)1HI'.i-i '-.Ill f:i� iti t".t' I)AIi 0 1 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 10/21/04 Nadine Nastasi 28 High Street s1 Salem, MA 01970 PROPERTY LOCATED AT 28 High 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 oard of Health Reply to Joann6 Scott MPH, RS, CHO Pablo Valdez Health Agent Code Enforcement Inspector