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HIGHLAND AVENUE 1-40 4 T ------------- �ONU1T CERT.# 297-99 n FEE $25.00 53 DATE: 06/14/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET. HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 102 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES. . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR e CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 .JOANNE SCOTT,MPH.RS,CHO NINE NORTH STREET HEAt TH AGENI APPLICATION FOR CERTIFICATE OFF FITNESS Tek(978)741-MO F2v (976)740.9705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER II, 105 CMR 410,000 'MINIMiIM STANDARDS OF FITNESS FOR HUMAN HABITATION', PROPERTY LOCATED AT— .,-,,, 40R Highland Ave. UNIT#_102 IS THIS UNIT DESIGNATED AS RIGH LEFT FRO RACK PLEASE CIRCLE ONE Fairweather Apts. Cynthia Carr OWNER/LESSER,, —.. ---..- . ..,. .___..----MANAGER/AGENT_,,,,.. No P.O.Box No P.O.Box ADDRESS___._... 40R Highland Ave ADDRESS. ._40R Highland Ave . CITY 43t em,--MEL 014.7.0 --.. .CITY- Salem, MA 01970 .. RESIDENCE PHONE BUSINESS PHONE(24 HRS.)- 978-744-7835 BUSINESS PHONE....._..978-744-7835 — TOTAL NUMBER OF ROOMS:_-__2 3_— ROOM USE: 1. kitche21 bed/1Svjing hat,4i 7. S._.._ 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. r q� APPLICANTS SIGNATURE—� pdTL QE C1�..._DATE!(4. !X! INSP..ECT.O-8S. BEPNLY DATjE SQEJWjAL.tNaRF.Q ION �-� G DATE OF REINSPECTION_. _ DATE OF ISSUANCE OF CERTIFICATEC__�F �DATE FEE PAID:_, TYPE OF UNIT: DWELLING 4-OTHER— CHECK a_ 1D�- CHECK DATE NOTES:—- 666E ENFORCEMENT INSPECTOR 9128 98 Fp. CERT.# 761-99 1, (p A. FEE $25.00 DATE: 12/20/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 203 OWNER/AGENT: Fairweather Apts. ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 777-5694 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH j JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO i NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT HO KVe+i A"D AUCLI UNIT# W3 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER C'A�R.">eoOCV.onAOMANAGER/AGENT nCit atCp.� (� No P.O. Box No P.O. Box ADDRESS '40 R � E�cg PWQ ADDRESS Sa,w CITY Gr o (m, CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) Li BUSINESS PHONE TOTAL NUMBER OF Rtp1OOM''S:_� � ROOM USE: 1. ` 3. ;LQ 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 �j o a DATE l 2.0 2 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION .1-x)'a —f St. DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: DATE FEE PAID:/) y TYPE OF UNIT: DWELLING OTHER_ CHECK#CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 opCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR 603-03 SALEM, MA 01970 CERT.# TEL. 978-741-1800 FEE $25.00 FAX 978-745-0343 DATE: STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO 12/12/03 MAYOR HEALTH AGENT 1 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R HIGHLAND AVENUE UNIT #: 205 OWNER/AGENT: FAIRWEATHER APTS. - CYNTHIA CARR ADDRESS: 40R HIGHLAND AVENUE CITY/TOWN: SALEM ZIP CODE: 01970 24 HOUR PHONE: 178_744_7835 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 ANI)/OR OCCUPIED, MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT { ) MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741-1800 . FOH OF H,E�A,L�T,HC__ JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT PABLO VAIDEZ CODE ENFORCEMENT INSPECTOR a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 NOV 1Q200- FAX 978-745-0343 - V J STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO CITY 01- SALEM pIq-1.�1 MAYOR HEALTH AGENT BOARD F HEALTH 663, 6-3 63, 03 /'1 LJ V fIL 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 ATGt�CUJn IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSEPrl7,1lt(JUQ-C kA-ItjI -,-- IAGER/AGENT0U � I(--,, Qftrr No P.O. Box go P.O. Box ADDRESSLI01?, ADDRESS CITY �� zz_CITY RESIDENCE PHONLel 7q4-?bNSNESS PHONE (24 HRS.) H-h`A BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: I. kr"-2. . POCK 4. 5._ 6.-7.-8. THERE IS A TWENTY-FIVE($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TIME OF INSPECTION. APPLICANTS SIGNATURE 6-4_� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION .1 � -� --z 5 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE! J. -3 -u > DATE FEE PAID:, lel o TYPE OF UNIT: DWELLING OTHER_ CHECK#�/D 7 CHECK DATE 4�_4 (,70-3 NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH • 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01 970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT RELEASE In accordance with Massachusetts General Laws Chapter III ; Code of Massachusetts P.agulations 410.000 et. seq. ; State Sanitary Code Chapter II and Article XIII of One City of. Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or its author- ized agents to inspect the residence identified below in accordance with the aforementioned statutes, regulations and ordinances. L. the event it is necessary that said inspection be done in my/our absence, 1/we expressly authorize the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized age=,es t -from any loss or injury sustained of whatever nature and description occasioned by my/our absence during said inspection. ell �- -�� e — NAAT'I'j Li,S SEr OWNER/i E S SOR - ADDRESS'l -SS---- --- --- ADDRESS --- — AD??RESS OF UNIT 1'0 BE INSPECTED y •C �6 3 CERT.# 25-01 FEE $25.00 DATE: 01/30/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 213 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE - SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNESCOTT v MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i v��COW1iT ✓9 - M. �4MM6 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel: (978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HABITATION". g PROPERTY LOCATED AT �-i(2) tjC_AWO PK22. UNIT#Zk " IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Tt2 (1ty RA_$ � MANAGER/AGENT t&C(NA,/ _ No P.O. Box No P.O. Box ADDRESS __k_ S nn40 R- We? f+L.A-" F�ADDRESS CITY S( M CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) -1 -7 44- BUSINESS PHONE 923 _ _� Lf L{-1 6 3� TOTAL NUMBER OF ROOMS: ROOM USE: l..bdK2. KAZ VQ 29 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_3-dV` DATE JD U INSPECTORS USE ONLY DATE OF INITIAL INSPECTION / '_30 'O 'r DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: -30 '6/ DATE FEE PAID: - 30 -0/ TYPE OF UNIT: DWELLIN LOTHER CHECK# O G CHECK DATE /-3 C _off NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 g 3 ° CERT.# 206-01 FEE $25.00 ,� DATE: 05/01/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO NINE NORTH STREET HEALTH AGENT Tel: (978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 221 OWNER/AGENT: Fairweather Ants. ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 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 lC JOANNE SCOTT', 'MPPH,,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR. CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH, RS,CHO NINE NORTH STREET HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS Tel:(978)741-1800 Fax:(978)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT I-10 �- ffi_ nh UNIT# 2 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER_ t t LQ � _MANAGER/AGENT Art No P.Q. Box No P.O.Box ADDRESS 4QF_ HiC2rtl/CVk)() Pr1Q ADDRESS_ _ CITY GJfkL� �M CITY _ RESIDENCE PHONE BUSINESS PHONE (24 NRS.) 970 7V er BUSINESS PHONE "//179� TOTAL NUMBER OFF ROOMS: ROOM USE: 1. j' f7_".jP/, 3. 1 4. _ 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 0��.DATE INSPECTORS USE ONLY DATE OF INITIAL INSP.ECTION� I - 0 /DATE OF REINSPECTION ___ DATE OF ISSUANCE OF CERTIFICATE: 5 c 1 DATE FEE PAID: �-C) f TYPE OF UNIT: DWELLING �OTHER_ CHECK#-a CHECK DATES NOTES: CODE ENFORCEMENT INSPECTOR 9/28198 i ��eONMT .s CERT.# 332-01 21 FEE $25.00 m� DATE: 07/11/2001 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT 120 Washington Street Tel: (978)741-1800 Fax: (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 301 OWNER/AGENT: Fairweather ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR ��coworr 9e�me�� 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 yDR- Hi&- ttr(..Adl 0 1L UNIT# 3 dI IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER {F!:� CCUjea j_tjA MANAGER/AGENT(:14T"-t(A Cprl2 (i` No P.O. Box pp ��11 11 No P.O. Box ADDRESS 409 &UIQ, ., .f� A-LQ- ADDRESS 2l �� i)N�Aldl't CITY S CITY RESIDENCE PHON67fU 7 L 5 SIMSINESS PHONE (24 HRS.)R"1P)7 4 4 _12) 3S BUSINESS PHONE TOTAL NUMBER OF ROOMS:__ ROOM USE: 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 ��( n,� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION -7�l 1 ,p ( DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:? / ISD ( DATE FEE PAID: 77- 0 a TYPE OF UNIT` DWELLINGE�OTHER_ CHECK#i)a?CHECK DATE 7 NOTES: //Il CODE ENFORCEMENT INSPECTOR 9/28/98 a CITY OF SALEM, T&NSSAC USE TT's 110,UZD oh 1-11.7,AI"I I 120 W,\sHlN( Tf'ON sI RITU'o It",FLOOR �Ib�CH�t�I Tt;,I... (978) 741-18001�',AX{978}745-0343 K'IMBER]LEY t)RISCOLL Ivaxndiocr?salens.coIR LARRY RA MDIN,RSf10`sl VS,CtIC),(T—F! MAYOR 1-1FAINIIAGI NT CERTIFICATE OF FITNESS CERTIFICATE# 15-13 DATE ISSUED: 1/16/2013 Property Located at: 40R Highland Avenue UNIT#307 Owner/Agent: Fairweather Preservation Association Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7835 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 It" 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 SANITARIAN CITY OF SALEM, MASSACHUSETTS ¢ _ BOARD OF HF ETH 120 WASHINGTON STREET,4"'FLOOR TF-T,. (978)741-1800 t KTNIBERL]3Y DRISCOLL Fax(978)745-0343 MAYOR ia, u)IN(q nw�m wml I.A IMY R,AN'W IN,WS/11 H fs,0I0,(T.FS J-W,\I;191.A(wN'f Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANI'T'ARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" {FEE: $50.00 �, i �, PROPERTY LOCATED AT�n lC�.�Y.1 af.��1� UNIT#-y�--I IS MIS UNIT IDISIO ATEID T A�'�t�GH S.EFT F'1iON1 OR BAM PLEAS) CIRCLE ONE f OWNER/LESSER IQ_(� GGW A ERI AGENT t.J i !�_ ` .�, � �S� NO PA'BOSADF— ' ADDRESS f � ADDRESS CITY, STATE,ZIP Ljq �Q:n CITY, STATE,ZIP RESIDENCEPBONE9 ` -- 8 BUSINESS PHONE(24BRS) BUSINESS PHONE boa)12— TOTAL NUMBER ii OF ROOMS: 3 ROOM USE: Jima i ma ro' p. !1!71! 4 5. 6. 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 jF�E IS PAYABLE AT TBE TIME OF INSPECTION APPLICANT'S SIGNATUR1� M& YV(lY' L DATE 0JZ Inspectors use only Date on initial inspection: �� Date of reinspection:_,, Date of issuance of certificate: -�� Date fee paid:—L:1 `' �� Type of unit: Dwelling ~Other Check# Check date: U' ! Notes: _ C ode nforcemeat Inspector TRANSMISSION VERIFICATION REPORT TIME 01/16/2013 03: 04 NAME FAX 9787450343 TEL 9787411800 SER. H 000BON341991 DATEJIME 01/16 03: 04 FAX NO. /NAME 919787448793 DURATION 00:00:23 PAGE(S) 01 RESULT OK MODE STANDARD ECM Breanna Yuskus PRESE'RIVATION Leasing Assistant FiQUS�NG Phone: 978-744-7835 iMANAGEMENT Fax • 978-744-8793 by u s k u s@ p r e se rvat i o n h o u s i n g.c o m www.fairweather-apts.com Fairweather Apartments-4 Locations 40R Highland Avenue GkSalem, MAO 1970 • T` CERT_# 38-97 FEE $25.00 �U fit A DATF, . 01/27/97 MNg CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(506)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Hiahland Avenue UNIT #: 308 071"-NER/AGENTT: Fairweather Apartments ADDRESS: 40R Hiahland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE [^LITH 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER Ii, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE. STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH V _ V JOANNE SCOTT, MPH,RS,CHC HEALTH AGENT CODE ENFORCEMENT INSPECTOR a . CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax.(508)740-8705 IN ACCORDANCE WITH STATE SANITARY'CODE, .CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT �� Q � ��M CI I L� UNIT f-3(!)FAj— OWNER/LESSER `TCSi4(x,) � MANAGER/AGENT ��Y1-QAiA`l An,(e- ADDRESS ( -ADDRESS qO'Q..- ( �j�� ADDRESS qQ2, CITY S PA-r Vh V-ys a CITY p_Cn� — t RESIDENCE PHONE � j BUSINESS PHONE (24 HRS.) c' BUSINESS PHONEZ ZI ~, > _ ? L(~ �G3 TOTAL NUMBER OF ROOMS: 3 ROOM USE: 1 ., 2 5. 6. THERE IS A TW9hTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR HONEY ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE LT THE TIME OF INSPECTION APPLICANTS SIGNATUREC400� a."- , DATE ` I INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: rt77DATE OF REINSPECTION DATE OF ISSUANCE OF CERTppIFICATE:L 7 Cj DATE FEE PAID: a 7 TYPE OF UNIT; DWELLING ///' OTHER �--t NOTES: CODE ENFORCEMENT INSPECTOR • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH _ 9 120 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#: 388-03 DATE ISSUED: 7/29/2003 Property Located at:: 40R Highland Avenue UNIT#: 311 Owner/Agent: Fairweather Apts. Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7835 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. This approval does not certify compliance with the State Lead Law for occupants under 6 years of age. For more information call 978-741-1800. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. OR THE BOARD F HEALTH Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR l 03 CITY OF SALEM, MASSACHUSETTS v BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS MC-0"6L-k-OFpFFIITNEESS FOR HUMAN HABITATION". PROPERTY LOCATED AT (DIC UNIT#3 0 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSERTL YI rWO9RI�AgQNAGER/AGEN No P.O. Bo No P.O. Box ADDRESS � > DDRESS CITY / Tom--a` y� ;�j �CITTYY RESIDENCE PHONE'[ /YJ y7_ /883t�d'E-SS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. L 2. 3. la-elOt . 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 SIGNATUREO,_ t "els. (::� DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION �'-,) y-G' /� _DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:7,,2-y' DATE FEE PAID:-;7-,)-0 '" 2 TYPE OF UNIT: DWELLINGS OTHER_ CHECK# ")b 7 CHECK DATE7'- NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 �v�' '� •(� CERT.# 89-97 FEE $25.00 �1�1 rF DATE: 02/13/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Hiahland Avenue UNIT # : 315 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Hiahland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH y JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR r CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 ,JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTLuICTE OF FITNESS Fax:(508)740.9705 IN ACCORDANCE WITIi STATE SANITARY CODE, .CHAPTER II, 105 CMR 610.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT '"CDR Vi; Grti A (asya UNIT # 31� OWNER/LESSER}p} Lw9&tnxEy�--- MANAGER/AGENI �y1 ADDRESS q0 P_ i �� AUS ADDRESS CITY S Pru fm !v RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE_"�(7j' 7 L�L�- � �y� TOTAL NUMBER OF ROOMS: ROOM USE: 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 DEPARTMEI:T THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE � 0:--Ca w r. DATE -2 �—�_._. INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: J '`1 7 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: 2-1 DATE FEE PAID:_j TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR T CERT.# 333-97 FEE $25.00 DATE: 05/29/97 MII�B CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 326 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Hiahland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD O� tl � JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR 333 97 x CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, GRAPIER II , 105 CMR 4110.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT ( 1,,4, J&I /, . UNIT t OWNER/LESSER /i //eg1 )?2�dno MANAGER/AGENT ADDRESS /i��//,�� ve ADDRESS CITY � �v�N /"q " 9I2 CITY RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS. Z ROOM USE: I. 2. 5. 5. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM HgEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE TINE OF INSPECTION APPLICANTS SIGNATURE �f i( L�` DATE (J�f INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: DATE DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:_,] j, - �i t DATE FEF. PAID: .S: � TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR C CITY OF SALEM, MASSACHUSETTS o ; BOARD OF HEALTH j a 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE #447-06 DATE ISSUED: 9/22/2006 Property Located at: 40R Highland avenue UNIT#401 Owner/Agent: Fairweather Apartments C/O Cindy Carr Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7835 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 T� HEALTH, ��Jc� JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR i CITY OF SALEM* MASSACHUSETTS ,'„�, BOARD OF HEALTH t 1 f *") m'J ' 120 WASHINGTON STREET, 4TH FLOOR Ll� G(// I SALEM, MA 01974 TEL. 978-74 I-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 H'ABIT'ATION". PROPERTY LOCATED AT `lUQ kb C� N Z! y rlv� UNIT A C/r IS THIS UNIT DESIGNATED AS RIGHT" LEFT FRO OAK PLEASE CIRCLE -ONE OWNER/LESSERT6 — MANAGERIAGEN��s�i_V r No P.O. Box No P.O. Box ADDRE�S^S L Ef�dt�.t1a 1 A O � DDRESS CITY J�. --CITY-------- RESIDENCE ITYRESIDENCE PHONE—__— —BUSINESS PHONE (24 HRS.) ! !eJ_.7A/-79-j� BUSINESS PHONE 9,L) 2 TOTAL NUMBER OF ROOMS ROOM USE: i..IytGLt �f3. 22Ar ----_ 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. --� tt�,// ^^�� APPLICANTS SIGNATURE t � s .� - --DATE e> INSPECTORS USE ONLY DATE OF tNITiAL tNSPECTIONq� --) Z _ DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE: /� _✓' b DATE FEE PAID /�/2 7— TYPE TYPE OF UNIT: DWELL I PG OTHER, _. CHECK =t l� c� 0 CHECK DATE NOTES_ CODE ENFORCEMENT INSPECTOR 9/28/98 P f .n CERT.# 703-96. 3 � FEE $25.00 • 1� `w.Y'�= DATE: 10/09/96 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 404 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR f CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tet:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY CODE, _CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABI(T�ATION". PROPERTY LOCATED AT �Q �I fJ� �L�, UNIT / .--� OWNER/LESSER �« MANAGER/AGENT ADDRESS .ram�, ADDRESS CITY e-:7 -"tom CITY _ RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE - / 7 / - 09 TOTAL NUMBER OF ROOMS: ROOM USE: 1 . 2. 3, 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 �TH�IS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANTS SIGNATURE DATE INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: rte( `t� DATE OF REINSPECTION q DATE OF ISSUANCE OF CERTIFICAT/� � " DATE FEE PAID: /CS TYPE OF UNIT: DWELLING OTHER NOTES: CODE ENFORCEMENT INSPECTOR .` ` 6dCONDIT,t � City of Salem, Massachusetts 9 Board of Health 120 Washington Street, 4th Floor, Salem, Public Health Prevent. Promote. Protect. MA 01970 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-15-206 DATE ISSUED: 7/31/2015 Property Located at: 40-REAR HIGHLAND AVENUE UNIT#415 Owner/Agent: Fairweather Apartments Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7447835 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 F—� c Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANI RIAN CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 . MAYORtann�DFN@ '/�"M• OM LARRY RAMDIN,RS/RWIS,CHO,CP-VS HEAmu AGEN7- 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 �` �I. J Q 0 01 V9X �n C UNIT# Ll I JC IS TRIS UNIT DISIGNATEb ASIUM LM OR PLEASE C[RCLE ONE owNEt/Ll~sSFdc1�J �QL1 YLlj2Cc LlL r 1� .(INV 11 I-C MANAGER/AGITIT�I Pan 1yL 1 . I DDRFSs Q� 9L�l C k kad ADDRESS CITY, STATE,ZIP e N1 t OQ /V CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE q�?� 7yy- `7g 3S- TOTAL NUMBER/OF ROOMS: // /v ROOM USE: L � ; �ChV l 2.L,eyl slU1113. 4. 5. 6. 7. 118. 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 PAY LE AT THE TIME SPECTION —7 APPLICANT'S SIGNA r I PI I DATE / /S Insoedors use only Date on initial inspection: - -/z 301201 5- Date of reinspection: Date of issuance of certificate: 5- Date fee paid: oZ/3oaD2 5- Type Type of unit: Dwelling Other Check# L3D. - Check date: Oa?Q/ 5 Notes: C ement In�p ctor (� _ �� 6 ' pp CITY OF SALEM, MASSACHUSETTS �I, BOARD OF HEALTH 'i • 120 WASHINGTON STREET, 4TH FLOOR CERT.# 602-03 SALEM, MA 01970 TEL. 978-741.1800 FEE $25.00 FAX 978-745-0343 DATE: 12t12ta3 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT I CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40 R HIGHLAND AVENUE UNIT #: 416 OWNER/AGENT: FAIRWEATHER APTS. - CYNTHIA CARR ADDRESS: 40 R HIGHLAND AVENUE CITY/TOWN: SALEM ZIP CODE: 01970 24 HOUR PHONE: 978-744-7835 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 10S CMR 410 .000: MASSACHUSETTS STATE SANITARY. CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT { } MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE NOR. BUILDING RELATED CODES. FOR MORE INFORMATION CALL 978-741.-1800. FO T�D ,OF H�E�A.L�T,.�HC_. JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT PAB O d"t�d� CODE ENFORCEMENT INSPECTOR aCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR > - SALEM, MA 01970 TEL. 978-741-1800 NOV FAX 978-745-0343 182003 STANLEY LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO - MAYOR HEALTH AGENTa3 CITY OF SALEM BOARD OF HEALTH 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 IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER-0I (000a 14 AgtSANAGER/AGEN No P.O. Box L' ( /� 1 No P.O. Box ADDRESS _ 40 2 1-te ADDRESS CITY-�1�9 •- /� �t �7�CIITY RESIDENCE PHONE g78�yq-BUp 41f PHONE (24 HRS. --R, BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 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 DATE\\/( INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 111- '? -4 DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:j DATE FEE PAID: i ZF-, 6 TYPE OF UNIT: DWELLINGOTHER_ CHECK# is 7 L/ CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 � .CONOIT 9Pv CERT.# 43-02 FEE S? . 00 U, DATE: 01/29/2002 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970 JOANNE SCOTT, MPH, RS,CHO 120 Washington .Street— 4" Floor. HEALTH AGENT Tel # (978)-741-1800 Fax # (978)-745-0343 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 419 OWNER/AGENT: Fairweather Ante. ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 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 BOAyRDD O�F. •HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT - CODE ENFORCEMENT INSPECTOR ti u CITY OF SALEM, MASSACHUSETTS '� BOARD OF HEALTH )�0 120 WASHINGTON STREET, 4TH FLOOR ✓ 9 SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT APPLICATION FOR CERTIFICATE OF FITNESS IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HIABITATION". PROPERTY LOCATED AT IN Klc UNIT IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER Eza I (_U _)ea_Jb-eA MANAGER/AGENT p2 0,,, No P.O. Bo / /4No P.O. Box ADDRESSsloR 45b �a,414ye ADDRESS CITY 5Rtom ,,�� CITY RESIDENCE PHONE_?7b7y� ZO-4USINESS PHONE (24 HRS.) `17& 7Vq- 70 =� BUSINESSPHONE '?7P Wq- -79)35- TOTAL NUMBER OF ROOMS: ROOM USE: 1._10-OA 2. tLt9 I l th Iv 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 _DATE/1L�-�!?a DATE U INSPECTORS USE ONLY DATE OF INITIAL INSPECTION /-d- "(--D �-- DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:/-,)l -0 Z DATE FEE PAID: ( - )-q-0 2� TYPE OF UNIT: DWELLING,(OTHER_ CHECK# IO CHECK DATE kk'D L NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 4 s n CITY OF SALEM, MASSACHUSETTS BOARD OF HF ACTH 120 WASHINGTON STREET,4"FLOOR pI1b�1CHC81�1 Pr<vm.ft.mw,.Protect. TF.L. (978) 741-1800 FAX(978) 745-0343 KIMBERLEY DRISCOLL 1ramdin @salem.com Lr1RR1 RAbIDIN,RS/RIiF[S,CHO,CP-6S MAYOR Hr{AL"IfIAC;f'.NP CERTIFICATE OF FITNESS CERTIFICATE#211-13 DATE ISSUED:6/25/2013 Property Located at: 40R Highland Avenue UNIT#224 Owner/Agent: Fairweather Preservation Association Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7835 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 VEALTH LARRY RAMDIN HEALTH AGENT F CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH d� 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 �Q)Q MnU 1 , 11 MAYOR LRAMDINSALEM.COM J 1. 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" '' ii FEE: $50.00 PROPERTY LOCATED AT UCV- I-H1gnigrg Plx, � ' OIg70 � �(� � UNIT#_c93—L( IS THIS UNIT DISIGNAT AS RIGHT LEF r�FRONT OR BACIt,PLEASE CIRCLE ONE OWNERILESSER Its 1 }PCS Q. �'(UfldAN 4GERR/GEENT NO P.O.BOX 1 ADDRESS LIC)QCr�1 icpc n / � ^ADDRESS CITY,STATE,ZIPS_x '1�� U9 O I Q/�I—Il)CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. 6cq OWM 2. ifor)c9l3. 4. 5. 6. U7. 8. 9. 10. THERE IS A FIFTY($50)DOLLAR FEE, PAYAB E Y C K R MONEY ORDER TO THE CITY OF SALEM BOARD OF HEALTH THIS YABLE A T T E OF SPECTION 'n �/ 2 APPLICANT'S SIGNATURE DATE Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Date fee paid: p Type of unit: Dwelling Other Chec c d y Check date: t0 Notes: Co rcement Inspector TRANSMISSION VERIFICATION REPORT TIME 06/30/2013 22:03 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 06/30 22: 02 FAX NO. /NAME 919787448793 DURATION 00:00:21 PAGE(S) 01 RESULT OK MODE STANDARD ECM City of Salem, Massachusetts 1P q Board of Health 120 Washington Street, 4th Floor, Salem, PnblicHealth 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-15-74 DATE ISSUED: 5/11/2015 Property Located at: 40-REAR HIGHLAND AVENUE UNIT#426 Owner/Agent: Fairweather Preservation, LLC Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7447835 Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation'. Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. FOR THE BOARD OF HEALTH 0,--A� 1A Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS < 'I BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL.{978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR I.RAMDIN@SAI.L'M.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 /I II c�1L ` 1 FEE: $50.00 PROPERTY LOCATED AT_W(D 141ga )Qnd UNIT# 42(P IS THIS IT DISICZkTED AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER 1kyrLA=t(_I'�,I eSeA-1f �-f1L� LAGER/AGENT�no, I f`D j I)lC�; NO P.O.BOX T ADDRESS4I�2�1�nA. PNQ ADDRESS CITY,STATE,ZIP LjnO , n CITY,STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(241IMRS) c '5; BUSINESS PHONE a��6��-"]`k 3S TOTAL NUMBER OF ROOMS:L5 I AB— 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 Inspectors use only Date on initial inspection:S 7' Date of reinspection: Date of issuance of certificate: -�_ i �� Date fee paid: 1l J Type of unit: Dwelling Other Check#Z�R"LP�Z(Check date: Notes: C e En orcement Inspector Ali CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH Z � r, $ 120 WASHINGTON STREET, 4TH FLOOR CERT.# 305-03 — �_ SALEM, MA 01970 FEE $25.00 ` TEL. 978-741-1800 DATE: 07/01/2003 FAX 978-745-0343 - STANLEY J. USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 501 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800 . FOR THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE`�E F RCEMENT IMSPECTOR CITY OF SALEM, MASSACHUSETTS ',Q BOARD OF HEALTH 36'S • • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-74 1-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 OR q&_L66ik& UNIT#JT_C4 kZk IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/LESSER+ (• CUPS AGER/AGENT3-4ATtlAA �R(L No P.O. Box t\ o P.O. Box ADDRESS CITY CITY RESIDENCE PHONE _BUSINESS PHONE (24 HRS.q)9nqq7 e�� BUSINESS PHONEQ-?QJ 7 q tf '79,3� TOTAL NUMBER OF ROOMS: ROOMUSE: 1. Ifi. 2. /(� 3. bdJ 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 C&" -DATE d3 INSPECTORS USE ONLY DATE OF INITIAL INSPECTION 7I/Ze ? DATE OF REINSPECTION tilA DATE OF ISSUANCE OF CERTIFICATE: 7///J DATE FEE PAID: TYPE OF UNIT: DWELLING_OTHER ✓ CHECK# /oS,F CHECK DATE >ii a3 NOTES-- 006E ENFORCEMENT SPECTOR 9/28/98 Y � CERT.# 296-99 FEE $25.00 DATE: 06/14/99 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(978)741-1800 Fax:(978)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 507 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 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 O F HEALTH OANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR �o CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINU NORTH STREET HFAt TH ADEN. APPLICATION FOR CERTIFICATE OFF FITNESS Tod.(978)741-MC, Fax (976)74U-4705 IN ACCORDANCE WITH STATE SANITARY CODE,CHAPTER 11, 105 CMR 410kOO °MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT 40R Highland Ave. UNIT# 507 IS THIS UNIT DCSIGNATED AS RIGHT LEFT FRONT BA" PLEASE CIRCLE ONE OWNER/LESSER_ Fairweather Apts MANAGERIAGENT_CYnthia Carr No P.O.Box No P.O.Box ADDRESS_.__ 40R .Highland Ave. ADDRESS_ _._40R Hiahland .Ave. CITY _qatan itn �-y.... -_.._CITY_ Salem., RESIDENCE PHONE— 13USINESS PHONE(24 HRS.) , .g_L8-74 -7835 BUSINESS PHONE978-744-7835 TOTAL NUMBER OF ROOMS:_ 41__.,__ ROOMUSE 1. kite. 2 bed, .3_ljvin.g-4. baS.b 5.__. 1 6 , 7. .. B._„_ 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_.Q� —DATE__0/_?I{ Ga INSPECTQRUB.E.O&Y DAIS-QE INITIAL INBFF. ILOH 4fc' ( "t -f Y DATE OF REINSPECTION_ DATE OF ISSUANCE OF CERTWICATE1 Y_ GATE FEE PAID: ( 4t TYPE OF UNIT: DWELLING"OTHER_,_ CHECK f./03_y__CHECKDATE NOTES:___.— .. _.. 6669 ENFORCEMENT INSPECTOR 9128198 CITY OF SALEM BOARD OF HEALTH Salem,Massachusetts 01970-3926 JOANNE SCOL 1,MPH,R7,C*10 NNE NORTH aTRECT HFALTt I ACE N1 Tei:(5W)741-1600 Pax;(50Q)740-970S RELEASE jr. 8.,;:ordsnc!n w:th M,,,.s qn<.[lure tC S General LAWS Chapter 1 1 1 ; Code of Massachusetts ions 4 10.0f"'j ct. seq. ; StsZCe Sanitary CC,6c C113pLur 11 and Article X),'l of :,c of Sn 1 em 01 4 iaAace, undersigned owner/lessor and Of 4 unit property, hereby autliorize the Salem hniire. of Health or its �wlt%lrr- t(I inspect the residence identified below in accordance vich the LaLuCeS, regulations and ordinances. i;1 the rN'onl it in noceS!—jr.v Lh.st said inspection be e.one it, tiy/oor 4bsoz,c, . i/wIr atltholiP.c the SaMc! and for my/our successors and assigns hereby the CiLy of Salem, Salem 60FITd of Hcalrh rind irs Authorized t11- ir'jury sustained of witolever natuVf, tad description Occasioned Llutlenc.v ducipg said :nspc.cti,00. GL' Cynihia Carr, Site Manager 40R Highland ..A.ve... _Hi- gh)Land Ave Apt 507 Salem, MA 01970 Salem, MA 01970 40R Highland Ave. Apt. #507 Salem, MA 01970 CERT.# 597-97 FEE $25.00 DATE: 09/02/97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01 970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT # : 509 OWNER/AGENT: Fairweather Ants. ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FO THE BOARD OF HEALTH JOANNE SCOTT, MPH,RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR GITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT, MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tei:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY' CODE, .CHAPTER II , 105 CMR 410.000 "MINIMUM i STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT -q(J p-- 6" kQA , AoQ_ UNIT 1 50 - OWNER/LESSER �� ( F r A 7�p 0 MANAGERIAGENCA ffrtfi Pr- 7 r r— ADDRESS L46 () I�t� K SLa� . ADDRESS CITY a0 CITY 'RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE_" c/raj 7 tf ? pT TOTAL NUMBER OF ROOMS: ROOM USE: 1 . �O .2. 5. 6. 7. 8. THERE IS A TWENTY-FIVE (25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALFM' HEALTH DEPPARTIV.HTpTHIS FEE IS PAYABLE AT THE TIM OF INSPECTION APPLICANTS SIGNATURE--_ = 4a - DATE_� 3 _ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION: �� DATE OF REINSPECTION DATE OF ISSUANCE OF CERTIFICATE:-�F--, -'":'-1DATE FEE TYPE OF UNIT: DWELLING OTHER NOTES : LC-ODE ENFORCEMENT' INSPECTOR +p, CITY OF SALEM, MASSACHUSETTS �x BOARD OF HEALTH R 120.WASHINGTON STREET, 4TH FLOOR c SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT CERTIFICATE OF FITNESS CERTIFICATE#701-96 DATE ISSUED: 10/09/1996 Property Located at: 40R Highland Avenue UNIT#511 Owner/Agent: Fairweather Apartments Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7835 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11" Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate if issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CRM 410.000. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness if valid only if there is a valid Certificate of Occupancy. FOR THE BOARD�H JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR y •.ry o CITY OF SALEM, MASSACHUSETTS vQ BOARD OF HEALTH m Z 1 �9 120 WASHINGTON STREET, 4TH FLOOR I<o' 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#: 387-03 DATE ISSUED: 7/29/2003 Property Located at:: 40R Highland Avenue UNIT#: 519 Owner/Agent: Fairweather Apartments Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7835 1 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rented and/or occupied. Maximum Number of occupants, must comply with 105 CMR 410.000. This approval does not certify compliance with the State Lead Law for occupants under 6 years of age. For more information call 978-741-1800. Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later. This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy. 7 FOR "y—THE EBBOARD OF HEALTH Joanne Scott, MPH, RS, CHO Health Agent CODE ENFORCEMENT INSPECTOR CITY OF SALEM, MASSACHUSETTS 3 BOARD OF HEALTH 3 i 120 WASHINGTON STREET, 4TH FLOOR a SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT 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 �02-- )'t&dI.AA) p _UNIT# 'S I IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE OWNER/L.ESSEK--VD l C&,L t .l-AKkANAGER/AGEN No P.O. Box L (( t No P.O. Box ADDRESS ADDRESS S CITY CITY RESIDENCE PHONE :�NR> SS PHONE (24 HRS.) BUSINESS PHONE TOTAL NUMBER OF ROOMS: 1 - ROOM USE: 1. t.?- 2.�_3. bed J� f� S. —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. �( q APPLICANTS SIGNATURE I ®1 DATE-')(a [ d INSPECTORS USE ONLY DATE OF INITIAL INSPECTION ' a DATE OF REINSPECTION DATE OF ISSUANCE OF CER/TI�FICATE: ��- f�} DATE FEE PAID: 7� D- 'f� _ TYPE OF UNIT: DWELLING ( OTHER_ CHECK# //J 6 > CHECK DATE NOTES: CODE ENFORCEMENT INSPECTOR 9/28/98 a , City of Salem, Massachusetts Board of Health 10 120 Washington Street, 4th Floor, Salem, PubliCHe8Ith MA 01970 Prevent. Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor Iramdin@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-16.112 DATE ISSUED: 4/6/2016 Property Located at: 40-REAR HIGHLAND AVENUE UNIT#602 Owner/Agent: Fairweather Preservation, LLC Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7447835 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 SANITAR AN CITY OF SALEM, MASSACHUSETTS • BOARD OF HEALTH ' 120 WASHINGTON STREET,4n'FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR 1,RAMDI.N(a A1,hM.cOM' LARRY RAMDIN,:RS/RHI IS,CI 10,C11-0F' HFAjaliAc ,N'r Application for Certificate of Fitness IN.ACCORDANCE WITH STATE SANITARY . DE;_CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR:HUMAN HABITATION" FEE: $50:00 PROPERTY LOCATED ATM&0197() UNIT# 60� IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE OWNER/LEMER�I f�W R_CA+,ho r 1'1 SQQ NQ�1fI 4%NAGER AGENT Irn (YICI f SCIh 1 CA M ADDRESS 4 tfi cl Maw n V 1Z ADDRESS CITY,STATE,ZIP, I CFI Y, STATE,ZIP cl RESIDENCE PHONE M— ?44-79S5 BUSINESS PHONE'(24HRS) BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: jI;r 2.:.' 3. 4. 5. 6: 7 8. 9; . 10. - THERE IS A FIF`T'Y($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'Sr SIGNATURE E DATE nspectors use only Date on initial inspection: SIl Date of reinspection: Daterof.LissuanCc.of certificate: Date fee paid- f S I/ Type of unit: Dwelling Other Check#0 1 aa5S_—i d7 .Check date- Notes.�SL'y'Q ate:Notes6/�SZmen+OV12r C Cod6-hntoiV=ent Inspector CERT.# 452-97 . 3 r 53 FEE $25.00 DATE: 0 07/21/7/21/ 97 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 CERTIFICATE OF FITNESS PROPERTY LOCATED AT: 40R Highland Avenue UNIT #: 603 OWNER/AGENT: Fairweather Apartments ADDRESS: 40R Highland Avenue CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 744-7835 AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE SALEM HEALTH DEPARTMENT AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED. MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . SECTION 410.400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: . NOPE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR OCCUPANTS UNDER 6 YEARS OF AGE. FOR THE BOARD OF HEALTH p JOANNE SCOTT, MPH, RS,CHO HEALTH AGENT CODE ENFORCEMENT INSPECTOR CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 APPLICATION FOR CERTIFICTE OF FITNESS Fax:(508)740-9705 IN ACCORDANCE WITH STATE SANITARY:CODE, _CHAPTER II, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION". PROPERTY LOCATED AT � t t LUNIT #- r? ¢ �+k5 OWNER/LESSER ( Yt{�(�L�GQ(/J // MANAGER/AGENT- ADDRESS 4(o I(�r n� / }y� ADDRESS t jUnn� CITY S A 0/V1'\ CITY Sr 9 Q �� RESIDENCE PHONE BUSINESS PHONE (24 HRS.) BUSINESS PHONE 7 T L-(- 'J 9j J� TOTAL NUMBER OF ROOMS: ROOM USE: 41t 2. ((JI / 3.j_-_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 DATE � _ INSPECTORS USE ONLY DATE OF INITIAL INSPECTION:—L — DATE OF REINSPECTION 7 DATE OF ISSUANCE OF CERTIFICATE: �?G �-�DATE, FEE PAID: - y Y TYPE OF UNIT : DWELLING OTHER NOTES : CODE ENFORCEMENT INSPECTOR W-W4 City of Salem, Massachusetts Board of Health 120 Washington Street, 4th Floor, Salem, PUbliCHealth MA 01970 Prevent.Promote. Protect. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS, CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE#: GHL-17-105 DATE ISSUED: 4/3/2017 Property Located at: 40-REAR HIGHLAND AVENUE UNIT#621 Owner/Agent: Fairweather Apartments Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7447835 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.� 695--� Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN CITY OF SALEM, MASSACHUSETTS • _ 8 BOARD OF HEALTH _ 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KIM 3ERT-EY DRISCOLL FAX(978) 745-0343 MAYOR t.RANauN@SAl.i:mf.cbj\l (� LARRY RVNIDIN RS/RF1IS,CI IU,(P-I;S DQD . .. .. C�l _ 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�[ ��la UNIT'#JJ IS THIS UNIT DISIGNATED AS RIGHT LEEFr FRONT OR BACK,PLEASE CIRCLE ONE ^ OWNER/LESSER I( y ,V j(XaAGER/AGENT 6 NI Ill ( l NORO.BOX�� ii�� , n T ADDRESS �flJr�'nlnADDRESS CITY; STATE;ZIP 1 .n I CITY, STATE,ZIP RESIDENCE PHONEq��'�� F4— I �j ) 1 BUSINESS PHONE;(24HRS) BUSINESS PHONE V q—y� TOTAL NUMBER OF ROOMS: a 1 � � ROOM USE: 1. 2. 3. 4 6. 7 8. 9: 10. THERE IS A FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK OR MONEY ORDER TO THE CITY OF SALEM BOARD.OF HEALTH THIS FEE IS PAYABLE AT THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE_ II �y Insuectors use only )ate on initial inspection; Date of reinspection: 2 )ate of issuance of certificate: Ll Date fee paid`. . U Cype ofunit: Dwelling Other - Check# Check date: t 1 Totes: ;ode Enforc e t Inspector CITY OF SALEM, ZASS��CHUSETTS Y BOARD OF HL,-uLTk1 120 WASHINGTON S'IR:GET,4".1"LO(.?R TEE- (978) 741-1800 KINM RIEY DRISCOLL FAX (978) 745-0343 MAYOR LARRY Riv miN, RS/RF t IS,CI 10,CP-PS W,;u; IiAc,i,Nr Release In accordance with Massachusetts General Laws Chapter I 11; Code of Massachusetts Regulations 410.000 et.Seq. ; State Sanitary Code Chapter II and Article XI1I of the City of Salem Ordinance, undersigned owner/lessor and tenant/lessee of a unit of residential property, hereby authorize the Salem Board of Health or.its authorized agents to inspect the residence identified below in accordance with the aforementioned statutes,regulations and:ordinances. In the event it is necessary that said inspection be done in my/out absence. I/we expressly authorized the same and for my/our successors and assigns hereby release and discharge the City of Salem, Salem Board of Health and its authorized agents from any lose or injury sustained of whatever nature and description occasioned by my/out absence during.said inspection. Tenant/Lessee Owner/Lessor Address Address Address on unit to be inspected Date Updated 523/11 - CITY OF SALEM, KkSSACHUSETTS BOARD of HE9LTFi _120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 IQMBERLEY nRISCOLL FAx (978) 745-0343 MAYOR Iramdin2salemxom LARRY RAMI)IN,IiS/Rfu IS,CI10,CP-fFS _ H I?,-V al i Ac i?Kr CERTIFICATE OF FITNESS POLICY 1. A Certificate of Fitness inspection is required for all rental units older than 5 years, per City of Salem ordinance; 2. A Certificate of Fitness is good for I year or the life of the tenant, whichever is longer; 3. A Certificate of Fitness inspection.may be obtained by calling or coming into the. Health Department and requesting an appointment; 4. Appointments must be requested at least 24 hours in advance pending an open appointment; 5. No "same day" appointments will be granted; 6. All appointments are subject to the schedule of the inspector; 7. A rental unit will be considered occupied when either the previous tenant or the current tenant has belongings in the unit. In the case of an occupied unit; either the tenant whose belongingsarein the unit must be present at the time of inspection, OR have signed a release statement allowing the Board of Health to inspect the unit. 8: Please allow at least one week turnaround time for the Certificate to be issued, especially at the end of the month; 9. A Certificate of Fitness will be granted when: a. An inspection has been conducted by a Health Department employee b. An application has been filled out and a check or money order has been received 10. -If you have any questions,please contact the Health Department CITY OF SA dEM, .MASSAC;HUS]?'X `S BwRC>Or,,Ftri,.m Fi 120 W.'\SETING-l'ON STR]'.i:ET 4"'FLOOR F 1b�CHktHlth 'Frtl . (978)741-18001 ,\,(978)745-0343 KI MBERI,EY DRISCOLL hamclina sJgn.eom LARa1'R,Atitt:�tN,RSJititns,ct�i�,rig-rs MAYOR I WA i:rI i A(r RN')' CERTIFICATE OF FITNESS CERTIFICATE#73-12 DATE ISSUED: 3/2/2012 Property Located at: 40R Highland Avenue UNr'# 1402 Owner/Agent: Fairweather Apartments C/O Jeanine Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7835 An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter 11' Minimum Standards of Fitness for Human Habitation". Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now be rentedand/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 RAMDIN ' r / HEALTH AGENT 90.DE ENFOROEA4tfill INSPECTOR CITY OF SALEM, MASSACHUSETTS BOARD OF HE\LTH 120 WASHINGTON STRFET,4... FLOOR �� TEL. (978) 741-1800 1CIMBERLEY DRISCOLL FAX (978) 745-0343 MAYOR LRAM1)IN2SA1E%1.(;0M L..ARRY RAMI)IN,RS/RISI IS,CI 10,(T-FS _ Hr,\I;I'II A(;vN'r 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-I�J t- �i Y 4�(�n UNIT#iqo� IS THIS UNIT A RIGHT EFT WTRACK PLEASE CIRCLE ONE tYLT OWNER/LES ER V } MANAGER/AGENT a t S '\l l l��i �.� �c 4 1,c�1 Car" n ADDRESS—4b b C ► 1(��.� l'' ADDRESS CITY, STATE,ZIP %�� { � (��-1 /o CTI Y, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) BUSINESSPHONE 7� ��Fu-7� � S^ iq'?t 744 8793 TOTAL NUMBEROFROOMS:_ ROOM USE: La�C jj� 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 S EM BOARD OF HEALTH THIS FEE IS PAY LE AT THE T14E OF INSPECTION a APPLICANT'S SIGNATURE ( DATE !/ ' Inspectors use on& Date on initial inspection: 319- ba Date of reinspection: Date of issuance of certificate: Date fee paid: l Type of unit: Dwelling Other Check#heck date: I Notes: CoLte NfoiedimentInspector CITY OF.SALFM, MASSACHUSE17S 13!I:\Rll!)F HfLU.I71 120 WASHHING I'ON STREET,41"`F1..o H! K1MBERLEY DRISCOLL "11:1- (978) 741-1800 MAYOR F,\x(978)745-0343 Iraindin@salem.com LA RRY RANIUIN, Nti�RI•:I(ti,CII(1,CP-iti e F11•om m l Aw NT Facsimile Transmittal To: c Fax # nn � RE: Date Page(s): including this cover# Message: Board of Heal _ th News For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON • TRANSMISSION VERIFICATION REPORT TIME 03/06/2012 00: 43 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 03/06 00: 43 FAX N0. /NAME 919787448793 DURATION 00:00:29 PAGE(S) 02 RESULT OK MODE STANDARD ECM CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4°i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR DOR0kNB U JNf&ALIibLCQM DAVID GR EI:'.NBA UM,RS ACTING HI AI,TI-I A(&'Wr CERTIFICATE OF FITNESS CERTIFICATE #59-11 DATE ISSUED: 2/24/2011 Property Located at: 40R Highland Avenue UNIT#1424 Owner/Agent: Fairweather Apartments Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 744-7835 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 'EI13 OF HEALTH DAVID GREENBAUM, RS ACTING HEALTH AGENT CODE ENP61RCEMENT INSPECTOR r CITY OF SALEM, MASSACHUSETTS 59-/ 1 e BOARD OF HEALTH 120 WASHINGTON STREET,4". FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR D(22r2.NBAU,%1@SA]EM.CO-Al DAVID GREENBAUM,RS ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." / I FEE:: $50.00 / _ /, PROPERTY LOCATED AT yO C'Y I /�1.G# Ave `7wi km UNIT# Y-) IS THIS S UN}IIT DI�SIGNA AS RIGHT LEFT FRONT OR BACK,PLEASE CIRCLE ONE OWNER/LESSER�1 fU)4?zO /tet PS-? uc bd—MANAGER/AGENT NO P.O. BOX SOLI ADDRESS ADDRESS -J'/Dp CITY, STATE, ZIPSht'( 2m A& Q Ig�o CITY, STATE,ZIP �7,41g 612 O 14 RESIDENCE PHONE q7b -7y Ll– -7 0 35- BUSINESS PHONE(24HRS)1?70 7 yc(- 78 3 S BUSINESS PHONE 97,6– 7qf-- 90 3� TOTAL NUMBER OF ROOMS: ROOM USE: 1. k.I�i�u 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 I mss-- DATE ^2 Inspectors use only Date on initial inspection: Date of reinspection: Date of issuance of certificate: Lill I Date fee paid:_ o Type of unit: Dwelling her Check#Check date: o Notes: Code En ce nt Inspector CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET',4... FLOOR TEL. (978) 741-1800 KIN MERLEY DRISCOLL FAX (978) 745-0343 MAYOR DGREENBAUN1((-SA1,H%J 70%J DAVID GitVF.NRAUM,RS ACTING Hi AJ.;I'l l A(;FNT Facsimile Transmittal To: Fax # RE: /DIC A/W/`J five, Date Page(s): including this cover# Message: Board of Health News -------------------------------------------------------------For Your Information OFFICE HOURS: Monday, Tuesday, Wednesday 8:00 AM to 4:00 PM Thursday 8:00 AM to 7:00 PM Friday 8:00 AM to 12:00 NOON TRANSMISSION VERIFICATION REPORT TIME 03/30/2011 03: 09 NAME FAX 9787450343 TEL 9787411800 SER.# 000BON341991 DATEJIME 03/30 03:09 FAX NO./NAME 919787445616 PAGE(S) DURATION 62: 00:25 RESULT OK MODE STANDARD ECM r .. :_ D City of Salem, Massachusetts f1. Board of Health 120 Washington Street, 4th Floor, Salem, PuiroCmoH6alth MA 01970 Prevent. Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REHS,CHO Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-16-422 DATE ISSUED: 10/28/2016 Property Located at: 40R HIGHLAND AVENUE UNIT#1616 Owner/Agent: Fairweather Apartments Address: 40R Highland Avenue City/Town: Salem, MA Zip.Code: 01970 24 Hour Phone:(978) 7447835 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. &JeyIosy Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN t CIn` OF'SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4„.FLOOR TF-L. (978)741-1800 KIMBERLEY DRISCOLI. FAA(978)745-0343 MAYOR R1hIDIIJ SN P f('C}\t LARRY RAMDIN,RSfRI?{IS,Clto,0P 1•S .. - HVAI::I'I-I A(;1:N'1' A:pplicatiion 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 �j C))2 OA G h �Or)r� �Q UNIT'#,QI LO IS THIS�NIT DISIGNA D AS RIG�L&F FRONT'OR BACK.PLEASE CIRCLE ONE OWNER/LESSER aWUXC,AhtfPO4A �_-MANAOER(AGENT -T,( elyl PIA C , NO'P.O.BOX ADDRESS U�y Q C 1" (4 ADDRESS CITY, STATE,ZIPCITY, STATE,ZIP RESIDENCE PHONESSs�-7qy- ') 93S-BUSINESS PHONE(24HRS} BUSINESS PHONE TOTAL NUMBER OF ROOMS;�_�__,_,_ ROOM USE: 1.rub 2. 3. 4. 5:' 6. 7 $: 9. 1 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 PAY L T THE TIME OF INSPECTION APPLICANT'S SIGNATURE DATE�I L J Ittspectors-use only Date on initial inspection:10/9--4/201-9 Date of reinspection: Date of issuance of certificate Z 20 b t�Date fee paid. IP12- lOff�i Type.of unit: Dwelling�` /Otther 1k #lq, J v heck date: !DXZ6 �& 1,< Notes: Awa lr�� C or mentz Insp Aaxc�/aha City of Salem, Massachusetts n Board of Health Lu� 120 Washington Street, 4th Floor, Salem, PUPrevent. Promote. Protect, MA 01970 Kimberley Driscoll Tel. (978) 741-1800 Fax. (978) 745-0343 Larry Ramdin, MPH, REFS, CHo Mayor health@salem.com Health Agent CERTIFICATE OF FITNESS CERTIFICATE M GHL-16-423 DATE ISSUED: 10/28/2016 Property Located at: 40R HIGHLAND AVENUE UNIT#1622 Owner/Agent: Fairweather Apartments Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone:(978) 7447835 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. lie* B Larry Ramdin, MPH, REHS, CHO HEALTH AGENT SANITARIAN a CITY" OF'SALEM, MASSACHUSETTS C BOARD OF HF_1LTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL R,X,(978)745-0343 MAYOR i RAMDINSAL) M.Cc>w LARRY RIAIDIN,RSfRVIIS,{:11O,CI'-hl` Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR:410,400 "MINIMUM STANDARDS OF.FITNESS FOR HUMAN HABITATION' FEE: $50.00: PROPERTY LOCATED AT Q DQcgi1�c K ) Q uNrr#_ tgL IS THIS NITDISIGNA D AS RIGHT LEF�7'AR0N1 OR BACK,PLEASE CIRCLE ONE OWNEWLESSER f„ (I 4. k MANAGERIAGENI V� h NO R.O.BOX ADDRESS ADDRESS CITY,STATE,ZIP_–at fn14I C�..��, C1 TY, STATE,ZIP RESIDENCE PHONE-AT_71i $?��,_ –BUSINESS PHONE(24HRS} BUSINESS PHONE TOTAL NUMBER OF ROOMS: l ROOM USE: 1.��..�(' C �Ji O 2. 3. . 4. 5_ 6. 7. 8. 9.. 10: THERE IS A:FIFTY($50)DOLLAR FEE,PAYABLE BY CHECK.OR MO1. NEY ORDER TO THE CTI'Y OF SALEM BOARD OF HEALTH THIS FEE'ISPAY LE AT TIM F INSPECTION APPLICANT'S SIGNA DATE__t Inspectors use only Date on initial inspection: W-2: f Date of reinspection: Date ofissuance of certificate:: /2_tj aZ Date fee'paidlaw/20,.Z Type of unlit: Dwelling_,Z,Otherr Check#!–t!_ Chcck date:� j� Notes: A Wan Cow? cement Insp or CITY OF SALEM, MASSACHUSETTS • e BOARD OF HEALTH 120 WASHINGTON STREET,4'"FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DG EENBAUM((>7SALEM.COM DAVID GRIT?ENBAUM ACTING HEAj,PFI AGEN'r CERTIFICATE OF FITNESS CERTIFICATE # 182-10 DATE ISSUED: 4/26/2010 Property Located at: 40R Highland avenue UNIT# 1623 Owner/Agent: Fairweather Apartments C/O Cindy Carr Address: 40R Highland Avenue City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-744-7835 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 AV�I EENB7atJM ACTING HEALTH AGENT CODE ENFORCEMENT INSPECTOR r . CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4...FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR UGREENBAUM@SALEM.COM DAVID GREENBAUM, ACTING HEALTH AGENT Application for Certificate of Fitness IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000 "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION." / FEE: $50.00 PROPERTY LOCATED AT '�D�V1 Ia.,d 7iAe UNIT# IS THIS UNIT DISIGIVATED AS RIGHT LE�F`FFRONT OR BACK PL��E--/ASE CIRCLE OONE OWNER/LESSEKM(atwG " t'1�PY Oh AS A�i AGENT(o� lA7�llT�i�N ADDRESS yOR. L''cN 92i.il J472e-- ADDRESS ->ATK-2_ CITY, STATE,ZIP `7( n /K4 if t-Q j 9�j CTTY, STATE,ZIP RESIDENCE PHONE BUSINESS PHONE(24HRS) 97� 7y�I 7H 3 SS BUSINESS PHONE TOTAL NUMBER OF ROOMS: ROOM USE: 1. —1 l.�it (02. 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 SIGNATUREC�C�tk'(( ,�� l_��- DATE Yc3� Inspectors use only Date on initial inspection: /a (�l�U p Date of reinspection: Date of issuance of certificate: Lqla IO Date fee paid: a (P�l Type of unit: DwellingOther Check# S S 3 Check date: ill(d/o Notes: Code\Enforc meat Inspector